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General NPI Number Information
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NPI Number | 1164478889
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Entity Type | Individual
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Provider Name | JOHANNA BURANI RD
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Gender | Female
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 51 DEAN RD
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City | MENDHAM
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State | NJ
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Zip | 07945-1627
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Country | US
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Telephone | 973-543-9231
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Fax | 973-543-9237
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Provider Business Mailing Address
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Address Line | 51 DEAN RD
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City | MENDHAM
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State | NJ
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Zip | 07945-1627
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Country | US
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Telephone | 973-543-9231
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Fax | 973-543-9237
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 706929
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License Number State | NJ
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