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General NPI Number Information
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NPI Number | 1972113884
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Entity Type | Organization
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Legal Business Name | RUOHONG JIANG, DDS, PLLC
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 41-63 BOWNE STREET
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City | FLUSHING
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State | NY
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Zip | 11355-2642
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Country | US
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Telephone | 718-762-0299
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Fax | 718-762-0312
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Provider Business Mailing Address
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Address Line | 41-63 BOWNE STREET
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City | FLUSHING
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State | NY
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Zip | 11355-2642
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Country | US
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Telephone | 718-762-0299
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Fax | 718-762-0312
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. RUOHONG JIANG
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Credential | DDS
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Telephone | 718-762-0299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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