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General NPI Number Information
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NPI Number | 1205947579
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Entity Type | Individual
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Provider Name | RITA RZHAVINSKY
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 26-01 PELLACK DR 2ND FLOOR
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City | FAIR LAWN
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State | NJ
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Zip | 07410-3723
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Country | US
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Telephone | 201-791-9340
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Fax | 201-791-9481
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Provider Business Mailing Address
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Address Line | 200 WINSTON DR APT. 920
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-3235
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Country | US
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Telephone | 201-969-8998
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00015400
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License Number State | NJ
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