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General NPI Number Information
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NPI Number | 1225727019
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Entity Type | Individual
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Provider Name | VINNETA SHORTER NP
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Gender | Female
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 994 W SHERMAN AVE BLDG 2
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City | VINELAND
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State | NJ
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Zip | 08360-6937
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Country | US
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Telephone | 631-534-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 10 FLORENCE AVE
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City | PENNS GROVE
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State | NJ
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Zip | 08069-1110
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Country | US
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Telephone | 856-308-9495
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ15193200
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License Number State | NJ
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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 | LP-0010628
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License Number State | DE
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