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General NPI Number Information
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NPI Number | 1104999564
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Entity Type | Organization
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Legal Business Name | PARTNERS FOR CONTINENCE LLC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 30 INWOOD CIR
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City | CHATHAM
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State | NJ
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Zip | 07928-1808
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Country | US
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Telephone | 973-635-4088
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Fax |
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Provider Business Mailing Address
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Address Line | 30 INWOOD CIR
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City | CHATHAM
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State | NJ
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Zip | 07928-1808
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Country | US
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Telephone | 973-635-4088
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, NURSE PRACTITIONER
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Name | MRS. MARY ANN GEARY
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Credential | MSN
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Telephone | 973-635-4088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NN63123
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License Number State | NJ
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