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General NPI Number Information
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NPI Number | 1265554117
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Entity Type | Individual
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Provider Name | ANN MARIE WITHERIDGE APN,C
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 126 E. LINCOLN AVE, MERCK & CO., POB 2000 RY 59-10
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City | RAHWAY
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State | NJ
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Zip | 07065
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Country | US
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Telephone | 732-594-0704
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Fax | 732-594-3548
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Provider Business Mailing Address
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Address Line | 1 ZIRKEL AVE
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City | PISCATAWAY
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State | NJ
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Zip | 08854-5713
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Country | US
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Telephone | 732-594-0704
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Fax | 732-594-3548
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00084700
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License Number State | NJ
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