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General NPI Number Information
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NPI Number | 1215503354
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Entity Type | Individual
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Provider Name | GERALDA BETTINA OLUWAGBAMILA DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/30/2021
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1 BRITTON PL STE 6
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City | VOORHEES
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State | NJ
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Zip | 08043-2514
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Country | US
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Telephone | 856-412-4694
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Fax | 856-412-4758
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Provider Business Mailing Address
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Address Line | 1 BRITTON PL STE 6
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City | VOORHEES
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State | NJ
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Zip | 08043-2514
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Country | US
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Telephone | 856-412-4694
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Fax | 856-412-4758
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ01134600
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License Number State | NJ
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