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General NPI Number Information
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NPI Number | 1063556371
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Entity Type | Individual
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Provider Name | RUBEN T ONG MD
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Gender | Male
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 4228 S BROAD ST
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City | YARDVILLE
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State | NJ
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Zip | 08620-2105
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Country | US
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Telephone | 609-585-2421
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Fax | 609-585-8888
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Provider Business Mailing Address
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Address Line | 4228 S BROAD ST
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City | YARDVILLE
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State | NJ
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Zip | 08620-2105
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Country | US
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Telephone | 609-585-2421
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Fax | 609-585-8888
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA02440900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA02440900
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License Number State | NJ
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