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General NPI Number Information
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NPI Number | 1679741086
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Entity Type | Organization
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Legal Business Name | VALLEY PULMONARY & SLEEP DISORDER CENTER
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 04/21/2008
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Provider Practice Location Address
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Address Line | 27 S FRANKLIN TPKE
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City | RAMSEY
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State | NJ
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Zip | 07446-2550
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Country | US
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Telephone | 201-785-8899
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Fax | 201-785-8869
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Provider Business Mailing Address
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Address Line | 27 S FRANKLIN TPKE
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City | RAMSEY
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State | NJ
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Zip | 07446-2550
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Country | US
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Telephone | 201-785-8899
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Fax | 201-785-8869
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Authorized Official
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Title or Position | CEO/PHYSICIAN
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Name | DR. RAKESH SHARMA
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Credential | M.D.
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Telephone | 201-785-8899
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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 | MAO64071
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License Number State | NJ
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