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NPI 1043358583

NPI 1043358583 : MONICA KATHERINE CHOMSKY APRN-BC : NEWARK, NJ

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General NPI Number Information
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    NPI Number           |    1043358583
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    Entity Type          |    Individual 
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    Provider Name        |    MONICA KATHERINE CHOMSKY APRN-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/04/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    297 16TH AVE 
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    City                 |    NEWARK
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    State                |    NJ
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    Zip                  |    07103-1104
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    Country              |    US
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    Telephone            |    973-374-3020
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    Fax                  |    973-374-3120
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Provider Business Mailing Address
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    Address Line         |    297 16TH AVE 
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    City                 |    NEWARK
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    State                |    NJ
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    Zip                  |    07103-1104
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    Country              |    US
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    Telephone            |    973-374-3020
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    Fax                  |    973-374-3120
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    26NJ00075200
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    License Number State |    NJ
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