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General NPI Number Information
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NPI Number | 1083053441
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Entity Type | Individual
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Provider Name | MRS. BETTINA COLEY DENSON
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Gender | Female
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 133 FULTON ST
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City | WOODBRIDGE
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State | NJ
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Zip | 07095-2619
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Country | US
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Telephone | 201-308-3705
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Fax |
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Provider Business Mailing Address
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Address Line | 133 FULTON ST
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City | WOODBRIDGE
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State | NJ
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Zip | 07095-2619
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Country | US
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Telephone | 201-308-3705
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 824917
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License Number State | NJ
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