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General NPI Number Information
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NPI Number | 1336494822
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Entity Type | Individual
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Provider Name | RINA VALLER
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Gender | Female
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Dates
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Enumeration Date | 07/20/2012
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 719 MONTANA DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-4647
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Country | US
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Telephone | 908-770-2244
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Fax | 732-909-2576
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Provider Business Mailing Address
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Address Line | 719 MONTANA DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-4647
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Country | US
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Telephone | 908-770-2244
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Fax | 732-909-2576
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 2410488
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License Number State | NY
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