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General NPI Number Information
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NPI Number | 1265017289
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Entity Type | Organization
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Legal Business Name | DONNA J FERRARO MD
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Dates
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Enumeration Date | 03/11/2021
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 31 PINE LAKE TER
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City | RIVER VALE
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State | NJ
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Zip | 07675-6470
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Country | US
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Telephone | 201-316-5325
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Fax | 201-505-1767
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Provider Business Mailing Address
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Address Line | 31 PINE LAKE TER
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City | RIVER VALE
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State | NJ
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Zip | 07675-6470
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Country | US
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Telephone | 201-316-5325
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Fax | 201-505-1767
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DONNA FERRARO
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Credential | MD
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Telephone | 201-316-5325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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