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General NPI Number Information
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NPI Number | 1376501866
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Entity Type | Individual
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Provider Name | MARIA VIRGINIA COMSTI MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 05/27/2011
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Provider Practice Location Address
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Address Line | 3456 W BANGS AVE
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City | NEPTUNE
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State | NJ
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Zip | 07753-3012
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Country | US
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Telephone | 732-922-1122
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Fax | 732-922-1957
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Provider Business Mailing Address
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Address Line | 4 DUNE RD
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City | OCEAN
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State | NJ
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Zip | 07712-3767
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Country | US
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Telephone | 732-922-1122
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Fax | 732-922-1957
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA068135
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License Number State | NJ
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