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General NPI Number Information
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NPI Number | 1124883228
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Entity Type | Individual
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Provider Name | AICHA FOFANA MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 374 7TH AVE W UNIT 7114
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City | NEWARK
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State | NJ
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Zip | 07107-7005
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Country | US
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Telephone | 862-235-7886
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Fax |
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Provider Business Mailing Address
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Address Line | 374 7TH AVE W UNIT 7114
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City | NEWARK
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State | NJ
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Zip | 07107-7005
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Country | US
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Telephone | 862-235-7886
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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 | 1208251
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11042520
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0105088
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3228739
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 86012
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License Number State | NM
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F353531
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ15062600
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License Number State | NJ
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Taxonomy #8
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 26NJ15062600
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License Number State | NJ
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