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General NPI Number Information
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NPI Number | 1053644195
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Entity Type | Individual
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Provider Name | ROBINEL O TONGOL
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Gender | Male
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 99 BEAUVOIR AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-3533
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Country | US
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Telephone | 908-522-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 66 POWERHOUSE RD 3 FLOOR
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1372
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Country | US
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Telephone | 516-945-3000
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Fax | 516-945-3131
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN584460
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 26NJ00300500
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License Number State | NJ
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