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General NPI Number Information
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NPI Number | 1275961948
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Entity Type | Individual
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Provider Name | AMY PARKER APN
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Gender | Female
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 602 W CUTHBERT BLVD UNIT 26
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City | HADDON TOWNSHIP
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State | NJ
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Zip | 08108-3642
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Country | US
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Telephone | 856-946-5180
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Fax | 856-946-5181
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Provider Business Mailing Address
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Address Line | 3840 QUAKERBRIDGE RD BUILDING 2, SUITE 110
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City | MERCERVILLE
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State | NJ
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Zip | 08619-1003
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Country | US
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Telephone | 609-890-4200
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Fax | 609-586-0399
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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 | 26NJ00470000
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License Number State | NJ
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