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General NPI Number Information
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NPI Number | 1174668453
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Entity Type | Individual
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Provider Name | CINDY SICKORA RN, MSN
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 65 BERGEN STREET
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City | NEWARK
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State | NJ
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Zip | 07101-1709
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Country | US
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Telephone | 973-972-9620
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Fax | 973-972-8775
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Provider Business Mailing Address
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Address Line | 24 COLONIAL DR
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4728
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Country | US
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Telephone | 973-898-3834
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Fax | 973-734-0925
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 26NR04896000
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License Number State | NJ
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