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General NPI Number Information
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NPI Number | 1194212522
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Entity Type | Individual
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Provider Name | TIMOTHY ALLEN ALDRICH NP
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Gender | Male
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 278 ROUTE 10 W
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City | SUCCASUNNA
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State | NJ
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Zip | 07876
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Country | US
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Telephone | 624-775-2888
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Fax | 862-477-5290
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Provider Business Mailing Address
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Address Line | 278 ROUTE 10 W
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1096
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Country | US
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Telephone | 862-477-5288
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Fax | 862-477-5290
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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 | 431391
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ01058500
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License Number State | NJ
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