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General NPI Number Information
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NPI Number | 1245368554
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Entity Type | Individual
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Provider Name | RIVA KAYNAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 525 UNION BLVD
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City | TOTOWA
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State | NJ
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Zip | 07512-2442
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Country | US
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Telephone | 862-229-0559
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Fax |
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Provider Business Mailing Address
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Address Line | 234 MCLEAN BLVD
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City | PATERSON
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State | NJ
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Zip | 07504-1021
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Country | US
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Telephone | 973-523-5252
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Fax | 973-523-5246
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA07379000
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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 | 25MA07379000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 25MA07379000
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA07379000
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License Number State | NJ
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