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General NPI Number Information
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NPI Number | 1003898479
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Entity Type | Individual
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Provider Name | MICHAEL ONG MD
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2965 HARRISON ST STE 211
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City | BEAUMONT
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State | TX
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Zip | 77702-1100
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Country | US
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Telephone | 409-899-4231
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Fax | 409-899-5264
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Provider Business Mailing Address
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Address Line | PO BOX 5371
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City | BEAUMONT
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State | TX
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Zip | 77726-5371
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Country | US
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Telephone | 409-899-4231
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Fax | 409-899-5264
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | F2382
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License Number State | TX
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