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General NPI Number Information
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NPI Number | 1336021468
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Entity Type | Individual
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Provider Name | FRANK JAMES MARK CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 1 CLARA MAASS DR
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3550
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Country | US
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Telephone | 973-450-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 24 KEMAH MECCA LAKE RD
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City | NEWTON
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State | NJ
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Zip | 07860-6802
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Country | US
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Telephone | 973-600-6752
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR20491500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 26NJ15600900
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License Number State | NJ
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