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General NPI Number Information
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NPI Number | 1235845207
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Entity Type | Individual
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Provider Name | ALYSSA ANNE KLISCH APN
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Gender | Female
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1945 STATE ROUTE 33
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City | NEPTUNE
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State | NJ
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Zip | 07753-4859
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Country | US
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Telephone | 732-775-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 29 BRONIA ST
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City | HOWELL
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State | NJ
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Zip | 07731-3805
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Country | US
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Telephone | 732-491-5470
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ01425500
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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 | 26NJ01425500
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License Number State | NJ
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