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General NPI Number Information
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NPI Number | 1457389702
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Entity Type | Individual
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Provider Name | RONALD J. STRONG PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 1125 PELICAN PL
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-5022
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Country | US
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Telephone | 727-754-6186
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Fax | 727-754-6137
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Provider Business Mailing Address
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Address Line | 1125 PELICAN PL
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-5022
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Country | US
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Telephone | 727-754-6186
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Fax | 727-754-6137
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA1597
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License Number State | FL
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