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General NPI Number Information
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NPI Number | 1063992634
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Entity Type | Organization
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Legal Business Name | DRZ ENT FACIAL PLASTIC SURGERY PC
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 1001 HWY 9 STE 107
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City | HOWELL
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State | NJ
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Zip | 07731-3301
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Country | US
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Telephone | 732-851-1231
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 HWY 9 STE 107
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City | HOWELL
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State | NJ
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Zip | 07731-3301
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Country | US
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Telephone | 732-851-1231
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Fax | 732-851-1131
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RUSLAN ZHURAVSKY
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Credential | DO
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Telephone | 732-851-1231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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