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General NPI Number Information
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NPI Number | 1043139744
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Entity Type | Organization
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Legal Business Name | CEDARVIEW DIAGNOSTICS LLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 5 WALTER E FORAN BLVD STE 4006
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4675
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Country | US
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Telephone | 973-755-2887
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Fax | 908-842-0632
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Provider Business Mailing Address
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Address Line | 5 WALTER E FORAN BLVD STE 4006
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4675
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Country | US
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Telephone | 973-755-2887
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Fax | 908-842-0632
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | NIJINSKY DE LA CRUZ
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Credential |
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Telephone | 973-755-2887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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