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General NPI Number Information
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NPI Number | 1114972296
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Entity Type | Individual
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Provider Name | JANET LYNN REGAN-LIVINGSTON NP
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Gender | Female
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 250 OLD HOOK RD
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City | WESTWOOD
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State | NJ
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Zip | 07675-3123
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Country | US
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Telephone | 201-781-1300
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Fax | 201-383-1983
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Provider Business Mailing Address
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Address Line | 73 SCHRAALENBURGH RD
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City | HAWORTH
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State | NJ
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Zip | 07641-1813
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Country | US
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Telephone | 201-403-1910
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NN09179900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NN09179900
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License Number State | NJ
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