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General NPI Number Information
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NPI Number | 1235361106
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Entity Type | Individual
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Provider Name | ANA URRIOLA PA
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Gender | Female
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 680 BROADWAY
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City | PATERSON
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State | NJ
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Zip | 07514-1422
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Country | US
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Telephone | 973-278-8818
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 ROUTE 46 STE G1
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City | CLIFTON
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State | NJ
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Zip | 07013-2448
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP002225000
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License Number State | NJ
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