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General NPI Number Information
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NPI Number | 1083174015
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Entity Type | Individual
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Provider Name | ROSEMARY ABIGAIL SPANG APN
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 128 ROUTE 70 STE 1
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City | MEDFORD
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State | NJ
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Zip | 08055-2371
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Country | US
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Telephone | 609-367-0900
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Fax | 609-367-0901
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Provider Business Mailing Address
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Address Line | 2000 CRAWFORD PL STE 200
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-3954
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Country | US
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Telephone | 833-384-3940
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Fax | 856-234-2130
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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 | 26NJ00896900
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License Number State | NJ
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