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NPI 1215608351

NPI 1215608351 : EMILY ANDERSON APN : PLAINSBORO, NJ

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General NPI Number Information
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    NPI Number           |    1215608351
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY ANDERSON APN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/27/2021
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    Last Update Date     |    06/30/2022
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Provider Practice Location Address
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    Address Line         |    5 PLAINSBORO RD 
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    City                 |    PLAINSBORO
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    State                |    NJ
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    Zip                  |    08536-1915
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    Country              |    US
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    Telephone            |    609-853-6590
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    Fax                  |    609-853-6581
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Provider Business Mailing Address
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    Address Line         |    5 PLAINSBORO ROAD SUITE 540
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    City                 |    PLAINSBORO
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    State                |    NJ
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    Zip                  |    08536-1913
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    Country              |    US
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    Telephone            |    215-360-0989
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    Fax                  |    215-615-1929
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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        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    26NJ01191800
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    License Number State |    NJ
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