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General NPI Number Information
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NPI Number | 1780549113
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Entity Type | Organization
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Legal Business Name | GARDENTOTS PEDIATRICS LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 181 FRANKLIN AVE STE 204
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City | NUTLEY
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State | NJ
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Zip | 07110-2900
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Country | US
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Telephone | 862-228-3127
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Fax |
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Provider Business Mailing Address
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Address Line | 4 TANGER DR
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1429
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Country | US
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Telephone | 862-228-3127
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RINET FERNANDES
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Credential | MD
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Telephone | 862-228-3127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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