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General NPI Number Information
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NPI Number | 1962278564
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Entity Type | Individual
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Provider Name | DANIEL WONG
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Gender | Male
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 7521 E NORA AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99212-2516
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Country | US
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Telephone | 808-444-1788
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Fax |
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Provider Business Mailing Address
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Address Line | 1187 TURNBERRY DR
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City | SPARKS
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State | NV
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Zip | 89436-1894
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-22-59340
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License Number State | ZZ
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