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General NPI Number Information
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NPI Number | 1689207714
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Entity Type | Individual
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Provider Name | NORA M RIGOLOSI
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Gender | Female
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 27 BROOKSIDE LN
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City | BOONTON
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State | NJ
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Zip | 07005-9604
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Country | US
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Telephone | 973-818-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 269 LAKE SHORE DR
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City | PARSIPPANY
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State | NJ
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Zip | 07054-3211
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Country | US
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Telephone | 973-945-3948
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | NJ
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