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Individual
DR. TAIIL TED SONG
Active
Individual
DR. TAIIL TED SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
OP00002163
WA
207KA0200X
Allergy Physician
OP00002163
WA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
E-2006
AR
Other
Enumeration date
12/11/2006
Last updated
09/14/2021
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