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General NPI Number Information
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NPI Number | 1629879523
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Entity Type | Individual
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Provider Name | RICHARD ONG
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Gender | Male
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 7651 SW STATE ROAD 200
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City | OCALA
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State | FL
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Zip | 34476-7726
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Country | US
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Telephone | 352-854-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2102 OAK LEAF CIR
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City | MOUNT DORA
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State | FL
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Zip | 32757-9679
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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 |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN30485
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License Number State | FL
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