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General NPI Number Information
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NPI Number | 1346409745
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Entity Type | Organization
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Legal Business Name | FRANCIS D ONG MD PA
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 1895 KINGSLEY AVE SUITE 403
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City | ORANGE PARK
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State | FL
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Zip | 32073-4466
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Country | US
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Telephone | 904-213-9005
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Fax |
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Provider Business Mailing Address
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Address Line | 1895 KINGSLEY AVE SUITE 403
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City | ORANGE PARK
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State | FL
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Zip | 32073-4466
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FRANCIS D ONG
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Credential | MD
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Telephone | 904-421-2119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME50427
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License Number State | ZZ
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