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General NPI Number Information
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NPI Number | 1710190780
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Entity Type | Individual
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Provider Name | CHRISTA ANN MUSCATO M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 MADISON AVENUE
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City | MORRISTOWN
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State | NJ
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Zip | 07960
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Country | US
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Telephone | 973-971-6763
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Fax |
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Provider Business Mailing Address
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Address Line | 666 WEST END AVENUE APT. 15N
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City | NEW YORK
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State | NY
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Zip | 10025
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Country | US
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Telephone | 212-799-0978
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MA78487
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License Number State | NJ
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