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General NPI Number Information
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NPI Number | 1174874762
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Entity Type | Individual
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Provider Name | YVONNE E TRAPP ANP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 04/20/2018
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Provider Practice Location Address
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Address Line | 1 PENN PLZ FL 8
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City | NEW YORK
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State | NY
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Zip | 10119-0899
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Country | US
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Telephone | 732-735-0167
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Fax |
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Provider Business Mailing Address
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Address Line | 64 GLENWOOD AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07306-4648
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Country | US
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Telephone | 812-343-4403
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 306140
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License Number State | NY
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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 | 306140
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License Number State | NY
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