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General NPI Number Information
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NPI Number | 1326389792
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Entity Type | Individual
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Provider Name | CHANDRIKA C JEYAMOHAN APN-C
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Gender | Female
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Dates
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Enumeration Date | 03/11/2013
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 195 LITTLE ALBANY ST 1124
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1914
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Country | US
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Telephone | 732-235-9645
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Fax | 732-235-3299
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Provider Business Mailing Address
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Address Line | 54 VAN DYKE RD
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City | PRINCETON
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State | NJ
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Zip | 08540-3642
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Country | US
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Telephone | 609-575-3702
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Fax | 609-651-8357
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00291400
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License Number State | NJ
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