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General NPI Number Information
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NPI Number | 1104144278
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Entity Type | Individual
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Provider Name | SHOHINI HOLDEN CPNP
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Gender | Female
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 416 BELLEVUE AVE
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City | TRENTON
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State | NJ
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Zip | 08618-4513
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Country | US
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Telephone | 609-989-9801
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Fax | 609-989-9806
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Provider Business Mailing Address
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Address Line | 12 BREE DRIVE
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City | HAMILTON
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State | NJ
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Zip | 08690
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Country | US
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Telephone | 732-309-4774
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 26NJ00289100
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License Number State | NJ
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