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General NPI Number Information
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NPI Number | 1235323460
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Entity Type | Organization
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Legal Business Name | ROBERT PICCIANO, M.D. & MARIA VIEIRA PICCIANO, M.D., P.C.
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 36 PACIFIC ST
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City | NEWARK
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State | NJ
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Zip | 07105-1665
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Country | US
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Telephone | 973-578-4808
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Fax | 973-578-2939
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Provider Business Mailing Address
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Address Line | 36 PACIFIC STREET
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City | NEWARK
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State | NJ
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Zip | 07105
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Country | US
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Telephone | 973-578-4808
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Fax | 973-578-2939
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. FATIMA SENDAO
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Credential |
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Telephone | 973-578-4808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA05674900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA05550400
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License Number State | NJ
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