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General NPI Number Information
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NPI Number | 1235652561
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Entity Type | Individual
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Provider Name | HELEN MARIE MEEHAN NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 255 W SPRING VALLEY AVE STE 100
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City | MAYWOOD
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State | NJ
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Zip | 07607-1444
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Country | US
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Telephone | 201-291-4075
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Fax | 201-881-0109
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Provider Business Mailing Address
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Address Line | 36 WANAMAKER AVE APT 208
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City | WALDWICK
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State | NJ
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Zip | 07463-1635
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Country | US
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Telephone | 201-230-9716
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ00740500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ00740500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00740500
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License Number State | NJ
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