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General NPI Number Information
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NPI Number | 1114508306
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Entity Type | Individual
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Provider Name | BABY P ABRAHAM REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 1 VETERANS WAY
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City | PARAMUS
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State | NJ
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Zip | 07652-4100
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Country | US
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Telephone | 201-634-8581
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Fax |
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Provider Business Mailing Address
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Address Line | 605 MONROE AVE
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City | TOWNSHIP OF WASHINGTON
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State | NJ
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Zip | 07676-4312
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Country | US
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Telephone | 201-398-3011
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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 | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 26NR13611900
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License Number State | NJ
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