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General NPI Number Information
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NPI Number | 1275096463
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Entity Type | Individual
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Provider Name | MICHELLE DANIELLE KUTNER APN-C
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Gender | Female
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Dates
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Enumeration Date | 04/13/2019
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Last Update Date | 04/13/2019
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Provider Practice Location Address
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Address Line | 802 W PARK AVE STE 213
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City | OCEAN
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State | NJ
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Zip | 07712-8526
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Country | US
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Telephone | 732-695-2555
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Fax | 732-695-2552
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Provider Business Mailing Address
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Address Line | 24 CORONET AVE
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City | LINCROFT
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State | NJ
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Zip | 07738-1704
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Country | US
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Telephone | 732-939-9473
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00706300
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License Number State | NJ
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