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General NPI Number Information
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NPI Number | 1275540643
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Entity Type | Individual
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Provider Name | ELIZABETH M. DUNLEAVY A.P.N.,C
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15 DELLWOOD LN
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City | SOMERSET
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State | NJ
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Zip | 08873-1551
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Country | US
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Telephone | 732-545-4200
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Fax | 732-846-1089
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Provider Business Mailing Address
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Address Line | 59 JUNCTION POND LN
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-2925
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Country | US
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Telephone | 732-438-1595
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NR06442100
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License Number State | NJ
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