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General NPI Number Information
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NPI Number | 1043603459
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Entity Type | Individual
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Provider Name | LISA HA
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Gender | Female
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 01/22/2022
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Provider Practice Location Address
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Address Line | 20 PROSPECT AVE
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City | HACKENSACK
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State | NJ
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Zip | 07601-1997
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Country | US
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Telephone | 551-996-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 20 PROSPECT AVE
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City | HACKENSACK
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State | NJ
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Zip | 07601-1997
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 669305
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR19896800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 007470
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | F430992
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ00902400
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License Number State | NJ
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