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General NPI Number Information
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NPI Number | 1770888919
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Entity Type | Organization
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Legal Business Name | HENRY J. RYNGEL, MD, PC
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 08/15/2011
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Provider Practice Location Address
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Address Line | 28 HARRISON AVE
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City | HARRISON
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State | NJ
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Zip | 07029-1348
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Country | US
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Telephone | 973-484-2929
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Fax | 973-484-4280
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Provider Business Mailing Address
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Address Line | 28 HARRISON AVE
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City | HARRISON
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State | NJ
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Zip | 07029-1348
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Country | US
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Telephone | 973-484-2929
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Fax | 973-484-4280
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Authorized Official
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Title or Position | CHIEF EXECUTIVE
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Name | HENRY JAMES RYNGEL
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Credential | MD
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Telephone | 973-484-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 25MA04193400
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License Number State | NJ
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