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General NPI Number Information
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NPI Number | 1114992773
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Entity Type | Individual
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Provider Name | GREGORY SALVATORE RIHACEK MD
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Gender | Male
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 19 CLYDE RD #101
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City | SOMERSET
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State | NJ
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Zip | 08873-5042
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Country | US
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Telephone | 732-568-0023
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Fax | 732-568-0159
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Provider Business Mailing Address
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Address Line | 19 CLYDE RD SUITE 101
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City | SOMERSET
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State | NJ
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Zip | 08873-5042
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Country | US
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Telephone | 732-568-0023
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Fax | 732-568-0159
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 25MA06373000
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License Number State | NJ
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