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General NPI Number Information
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NPI Number | 1285308536
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Entity Type | Individual
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Provider Name | EDNA ALIESE HIERS DNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 1 JFK BLVD APT 47D
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City | SOMERSET
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State | NJ
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Zip | 08873-1782
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Country | US
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Telephone | 973-710-6062
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Fax |
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Provider Business Mailing Address
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Address Line | 500 DEMOTT LN UNIT 5424
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City | SOMERSET
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State | NJ
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Zip | 08875-7021
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Country | US
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Telephone | 973-710-6062
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ01184700
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License Number State | NJ
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