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General NPI Number Information
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NPI Number | 1205134533
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Entity Type | Individual
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Provider Name | VALERIE HANNAH SHANDER CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 240 EASTON AVE FL 3
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1723
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Country | US
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Telephone | 732-846-3300
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Fax | 732-846-3323
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Provider Business Mailing Address
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Address Line | J2 BRIER HILL CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3340
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Country | US
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Telephone | 732-390-7750
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Fax | 732-390-7725
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | R191337
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00650600
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License Number State | NJ
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