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General NPI Number Information
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NPI Number | 1245214170
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Entity Type | Individual
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Provider Name | DANA L. INZEO NP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 375 ROUTE 10
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City | WHIPPANY
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State | NJ
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Zip | 07981-2115
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Country | US
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Telephone | 973-210-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 7 VIRGINIA ST
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City | NEW CITY
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State | NY
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Zip | 10956-3024
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Country | US
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Telephone | 458-721-3790
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00078500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F302379
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License Number State | NY
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