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General NPI Number Information
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NPI Number | 1134714546
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Entity Type | Individual
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Provider Name | ERNST RENONDEAU APN
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Gender | Male
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Dates
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Enumeration Date | 03/08/2021
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 6 KILMER RD STE B
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City | EDISON
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State | NJ
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Zip | 08817-2432
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Country | US
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Telephone | 640-266-4033
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Fax | 225-254-3474
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Provider Business Mailing Address
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Address Line | 244 HENDRICKSON AVE
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City | EDGEWATER PARK
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State | NJ
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Zip | 08010-2024
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Country | US
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Telephone | 609-575-8483
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ01208900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR15639000
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License Number State | NJ
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