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General NPI Number Information
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NPI Number | 1548852825
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Entity Type | Individual
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Provider Name | DR. NINA SARDO VALENTE
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Gender | Female
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 34 MAIN ST
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City | WOODBRIDGE
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State | NJ
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Zip | 07095-3303
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Country | US
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Telephone | 848-999-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 40 DORSET DR
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City | CLARK
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State | NJ
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Zip | 07066-3010
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC0079800
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License Number State | NJ
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