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General NPI Number Information
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NPI Number | 1245622976
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Entity Type | Individual
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Provider Name | LISA BRZEZINSKI APN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2015
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 714 10TH ST
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City | SECAUCUS
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State | NJ
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Zip | 07094-2921
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Country | US
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Telephone | 201-552-2256
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Fax |
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Provider Business Mailing Address
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Address Line | 142 ROUTE 17
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City | PARAMUS
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State | NJ
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Zip | 07652-2902
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Country | US
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Telephone | 551-355-1200
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Fax | 551-355-1320
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 26NJ00556600
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License Number State | NJ
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