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General NPI Number Information
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NPI Number | 1699042911
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Entity Type | Organization
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Legal Business Name | REGINA MANAGEMENT CO. INC.
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 206 DRIGGS AVE
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City | BROOKLYN
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State | NY
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Zip | 11222-4645
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Country | US
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Telephone | 718-389-3131
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Fax | 718-389-0625
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Provider Business Mailing Address
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Address Line | 154 ENGERT AVE
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City | BROOKLYN
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State | NY
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Zip | 11222-4907
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Country | US
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Telephone | 718-486-4870
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Fax | 718-486-0828
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Authorized Official
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Title or Position | PRESIDENT
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Name | WANDA TERESA BELLO
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Credential |
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Telephone | 718-486-4870
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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 |
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License Number State |
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