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General NPI Number Information
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NPI Number | 1669689964
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Entity Type | Individual
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Provider Name | HONORA VALANE M.D.
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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 | 03/27/2017
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Provider Practice Location Address
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Address Line | 695 US HIGHWAY 46 SUITE 400A
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City | FAIRFIELD
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State | NJ
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Zip | 07004-1592
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Country | US
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Telephone | 973-826-8080
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Fax | 866-309-3354
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Provider Business Mailing Address
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Address Line | PO BOX 4059
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City | WAYNE
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State | NJ
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Zip | 07474-4059
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Country | US
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Telephone | 973-894-1264
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Fax | 888-972-6480
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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 | 25MA03498800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA03498800
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License Number State | NJ
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