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General NPI Number Information
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NPI Number | 1275907412
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Entity Type | Individual
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Provider Name | MAHALIA VANDERPUIJE DNP
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Gender | Female
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Dates
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Enumeration Date | 11/27/2015
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Last Update Date | 11/27/2015
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Provider Practice Location Address
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Address Line | 3799 ROUTE 46 SUITE 211
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City | PARSIPPANY
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State | NJ
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Zip | 07054-1055
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Country | US
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Telephone | 201-993-0763
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Fax |
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Provider Business Mailing Address
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Address Line | 3799 ROUTE 46 SUITE 211
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City | PARSIPPANY
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State | NJ
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Zip | 07054-1055
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Country | US
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Telephone | 201-993-0763
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 041402342
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License Number State | IL
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