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General NPI Number Information
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NPI Number | 1073655148
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Entity Type | Individual
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Provider Name | ANITA DRIESEL RN
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 04/12/2026
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Provider Practice Location Address
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Address Line | 108 ALDEN ST
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City | CRANFORD
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State | NJ
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Zip | 07016-2131
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Country | US
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Telephone | 908-497-3987
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Fax |
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Provider Business Mailing Address
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Address Line | 13-15 CANTERBURY AVENUE
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City | NORTH ARLINGTON
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State | NJ
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Zip | 07031
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Country | US
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Telephone | 201-991-8387
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | NO09234500
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License Number State | NJ
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