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General NPI Number Information
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NPI Number | 1053530832
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Entity Type | Individual
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Provider Name | CECILIA BERTONE NP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 CRAIG RD STE 205A
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City | MANALAPAN
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State | NJ
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Zip | 07726-8731
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Country | US
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Telephone | 732-866-9922
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Fax |
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Provider Business Mailing Address
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Address Line | 251 BENNINGTON RD
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City | FREEHOLD
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State | NJ
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Zip | 07728-4418
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Country | US
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Telephone | 732-577-6883
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NN08724100
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License Number State | NJ
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