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General NPI Number Information
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NPI Number | 1013706894
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Entity Type | Individual
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Provider Name | LUCIA OLARERIN-OLAJUWON APN
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 349-351 HAWTHORNE AVE
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City | NEWARK
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State | NJ
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Zip | 07112-3631
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Country | US
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Telephone | 732-925-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 349-351 HAWTHORNE AVE
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City | NEWARK
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State | NJ
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Zip | 07112-3631
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Country | US
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Telephone | 732-925-4565
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Fax |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F312152-01
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License Number State | NY
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