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General NPI Number Information
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NPI Number | 1295791242
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Entity Type | Individual
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Provider Name | JOHN JOSEPH RAINIERI D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | VA HUDSON VALLEY HEALTH CARE SYSTEM
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City | MONTROSE
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State | NY
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Zip | 10548-0100
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Country | US
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Telephone | 914-497-0477
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Fax | 914-788-4274
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Provider Business Mailing Address
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Address Line | 23 CRESCENT LN
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City | PUTNAM VALLEY
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State | NY
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Zip | 10579-2606
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Country | US
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Telephone | 845-528-3452
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Fax | 914-788-4274
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | N004298
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License Number State | NY
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