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General NPI Number Information
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NPI Number | 1063265536
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Entity Type | Individual
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Provider Name | ANGEL LUIS PIRIZ FNP
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Gender | Male
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 322 38TH ST
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City | UNION CITY
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State | NJ
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Zip | 07087-5283
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Country | US
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Telephone | 201-865-9492
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Fax | 201-865-0306
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Provider Business Mailing Address
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Address Line | 812 LARCH ST
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City | ROSELLE PARK
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State | NJ
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Zip | 07204-1207
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Country | US
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Telephone | 917-494-6150
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ01368900
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License Number State | NJ
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