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General NPI Number Information
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NPI Number | 1588871750
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Entity Type | Individual
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Provider Name | GINANOEL NICOLA CONTI I C.O.T.A.
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 2114 OLIVER ST
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City | RAHWAY
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State | NJ
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Zip | 07065-4305
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Country | US
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Telephone | 732-669-0833
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Fax |
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Provider Business Mailing Address
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Address Line | 2114 OLIVER ST
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City | RAHWAY
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State | NJ
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Zip | 07065-4305
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Country | US
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Telephone | 732-669-0833
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 46TA09020000
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License Number State | NJ
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