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General NPI Number Information
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NPI Number | 1285441170
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Entity Type | Individual
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Provider Name | ANNE BIZUB PHD, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 525 WASHINGTON BLVD
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City | JERSEY CITY
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State | NJ
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Zip | 07310-1606
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Country | US
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Telephone | 888-721-3003
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Fax |
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Provider Business Mailing Address
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Address Line | 801 SHELBY ST STE 212
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-1163
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Country | US
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Telephone | 888-721-3003
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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 | 71016511A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 26NJ15192100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 26NJ15192100
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 26NJ15192100
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License Number State | NJ
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