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General NPI Number Information
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NPI Number | 1114119658
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Entity Type | Individual
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Provider Name | ELAINE M TORMEY ACNP
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Gender | Female
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 08/17/2007
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Provider Practice Location Address
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Address Line | 223 N VAN DIEN AVE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-2726
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Country | US
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Telephone | 201-447-8418
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Fax | 201-447-8659
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Provider Business Mailing Address
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Address Line | 223 N VAN DIEN AVE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-2726
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Country | US
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Telephone | 201-447-8418
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Fax | 201-447-8659
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | NN05214100
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License Number State | NJ
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