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General NPI Number Information
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NPI Number | 1740553122
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Entity Type | Organization
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Legal Business Name | RAMON VALLARINO JR, MDPC
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 164 20TH STREET SUITE 2E
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City | BROOKLYN
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State | NY
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Zip | 11232
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Country | US
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Telephone | 718-396-1742
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Fax | 718-396-3297
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Provider Business Mailing Address
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Address Line | 3704 91ST ST SUITE C
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7914
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Country | US
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Telephone | 718-396-1742
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Fax | 718-396-3297
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LORENA TUFANO
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Credential |
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Telephone | 516-747-7780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 205319
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License Number State | NY
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