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General NPI Number Information
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NPI Number | 1730117144
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Entity Type | Individual
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Provider Name | RONALD LANG MD
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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 | 06/26/2014
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Provider Practice Location Address
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Address Line | 984 N BROADWAY SUITE 312
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City | YONKERS
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State | NY
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Zip | 10701-1318
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Country | US
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Telephone | 914-376-2372
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Fax | 914-968-8975
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Provider Business Mailing Address
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Address Line | 26 FIREMENS MEMORIAL DR 115
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City | POMONA
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State | NY
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Zip | 10970-3553
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Country | US
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Telephone | 800-750-8616
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Fax | 845-362-8474
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 127676
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License Number State | NY
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