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General NPI Number Information
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NPI Number | 1164043790
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Entity Type | Individual
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Provider Name | CELINE-ANN TEH-CHING SAMANIEGO APN
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Gender | Female
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 1200 E RIDGEWOOD AVE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3957
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Country | US
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Telephone | 201-689-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 781 BRIARCLIFF AVE
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City | MAYWOOD
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State | NJ
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Zip | 07607-1400
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Country | US
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Telephone | 201-336-2456
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ15241900
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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 | 783091
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 26NR20188200
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License Number State | NJ
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