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General NPI Number Information
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NPI Number | 1235109976
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Entity Type | Individual
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Provider Name | RONALD SOLOMON ABOODY MD
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 350 BOULEVARD
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City | PASSAIC
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State | NJ
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Zip | 07055-2840
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Country | US
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Telephone | 973-365-4300
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Fax | 973-365-9980
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Provider Business Mailing Address
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Address Line | 935 ALLWOOD RD SUITE 230
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City | CLIFTON
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State | NJ
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Zip | 07012-1988
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Country | US
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Telephone | 973-365-2750
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Fax | 973-365-9980
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA6086700
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License Number State | NJ
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