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NPI 1205253952

NPI 1205253952 : SARON FONG NP : MIDDLETOWN, NY

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General NPI Number Information
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    NPI Number           |    1205253952
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    Entity Type          |    Individual 
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    Provider Name        |    SARON FONG NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/19/2014
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    280 ROUTE 211 E 
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    City                 |    MIDDLETOWN
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    State                |    NY
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    Zip                  |    10940-3109
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    Country              |    US
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    Telephone            |    845-500-6330
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    Fax                  |    845-386-9979
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Provider Business Mailing Address
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    Address Line         |    126 NEW VERNON RD STE 1 
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    City                 |    HOWELLS
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    State                |    NY
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    Zip                  |    10932-9800
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    Country              |    US
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    Telephone            |    845-500-6330
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    Fax                  |    845-386-9979
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    R264352
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    402476
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    License Number State |    NY
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