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General NPI Number Information
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NPI Number | 1437589470
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Entity Type | Individual
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Provider Name | DEVANG RAVAL MS, CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 200 S ORANGE AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 973-577-4056
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Fax |
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Provider Business Mailing Address
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Address Line | 11 RENSHAW DR
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City | MONTVILLE
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State | NJ
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Zip | 07045-8912
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Country | US
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Telephone | 201-832-2131
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR13866100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 26NR138666100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 564146-1
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License Number State | NY
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