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General NPI Number Information
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NPI Number | 1861685216
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Entity Type | Individual
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Provider Name | JULIA RIFTINE M.D., F.C.O.G.
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Gender | Female
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 55 MEADOWLANDS PKWY SUITE 436
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City | SECAUCUS
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State | NJ
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Zip | 07094-2977
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Country | US
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Telephone | 201-392-3063
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Fax | 201-392-3069
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Provider Business Mailing Address
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Address Line | 1225 RIVER ROAD APT 4D
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City | EDGEWATER
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State | NJ
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Zip | 07020-1460
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Country | US
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Telephone | 201-392-3063
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Fax | 201-392-3069
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA08303000
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License Number State | NJ
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