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General NPI Number Information
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NPI Number | 1861780173
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Entity Type | Individual
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Provider Name | RUSLAN ZHURAVSKY DO
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Gender | Male
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Dates
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Enumeration Date | 07/20/2011
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 1001 HWY 9 STE 107
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City | HOWELL
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State | NJ
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Zip | 07731-3301
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Country | US
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Telephone | 732-851-1231
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Fax | 732-851-1131
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Provider Business Mailing Address
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Address Line | 1001 HWY 9 STE 107
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City | HOWELL
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State | NJ
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Zip | 07731-3301
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Country | US
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Telephone | 732-851-1231
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Fax | 732-851-1131
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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 | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 25MB09845000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 285291-1
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License Number State | NY
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