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General NPI Number Information
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NPI Number | 1336607134
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Entity Type | Individual
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Provider Name | KATHRYN MINIKUS APN
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Gender | Female
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 200 HWY 31
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5812
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Country | US
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Telephone | 908-237-3405
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Fax |
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Provider Business Mailing Address
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Address Line | 11 VALLEY VIEW DR
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4507
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Country | US
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Telephone | 908-642-3803
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ00909500
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License Number State | NJ
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