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General NPI Number Information
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NPI Number | 1245684281
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Entity Type | Individual
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Provider Name | ANITA DURNEN
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Gender | Female
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 481 HACKENSACK AVE FL 2
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City | HACKENSACK
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State | NJ
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Zip | 07601-6330
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Country | US
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Telephone | 201-881-9773
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Fax |
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Provider Business Mailing Address
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Address Line | 290 HACKENSACK ST # 5
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City | WOOD RIDGE
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State | NJ
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Zip | 07075-1240
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Country | US
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Telephone | 201-881-9773
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Fax | 254-629-5535
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ00626500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00626500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP021319
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License Number State | PA
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