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General NPI Number Information
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NPI Number | 1326993999
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Entity Type | Individual
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Provider Name | LIMA VADAKKEDAM APN
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Gender | Female
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 18 W BLACKWELL ST
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City | DOVER
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State | NJ
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Zip | 07801-3841
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Country | US
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Telephone | 973-328-3344
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Fax | 973-328-7817
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Provider Business Mailing Address
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Address Line | 18 W BLACKWELL ST
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City | DOVER
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State | NJ
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Zip | 07801-3841
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Country | US
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Telephone | 973-978-9154
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Fax | 973-654-9855
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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 | 26NJ15533500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR21336500
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License Number State | NJ
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