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General NPI Number Information
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NPI Number | 1902294465
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Entity Type | Organization
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Legal Business Name | VALSKYS PAIN AND ANESTHESIA P.A.
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 1187 MAIN AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-2252
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Country | US
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Telephone | 908-928-6465
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Fax |
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Provider Business Mailing Address
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Address Line | 1187 MAIN AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-2252
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Country | US
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Telephone | 908-928-6465
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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. RYTIS VALSKYS
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Credential |
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Telephone | 973-928-6465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA08186700
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License Number State | NJ
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