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General NPI Number Information
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NPI Number | 1306864194
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Entity Type | Individual
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Provider Name | ROSANNE VANTUONO MD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 475 JACK MARTIN BLVD
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City | BRICK
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State | NJ
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Zip | 08724-7732
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Country | US
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Telephone | 732-458-6600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 297
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City | MANASQUAN
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State | NJ
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Zip | 08736-0297
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Country | US
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Telephone | 732-899-0868
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Fax | 732-899-5167
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 25MA05420000
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License Number State | NJ
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