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General NPI Number Information
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NPI Number | 1982849667
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Entity Type | Organization
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Legal Business Name | RUNNING S EQUINE VETERINARY SERVICES
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 118 FAIRMOUNT RD W
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City | CALIFON
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State | NJ
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Zip | 07830-3331
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Country | US
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Telephone | 908-832-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 118 FAIRMOUNT RD W
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City | CALIFON
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State | NJ
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Zip | 07830-3331
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Country | US
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Telephone | 908-832-5454
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY S STALLER
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Credential |
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Telephone | 908-832-5484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 29VI00326000
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License Number State | NJ
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