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General NPI Number Information
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NPI Number | 1336639004
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Entity Type | Individual
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Provider Name | JANELLE M. AQUINO MSN, RN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 350 ENGLE ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-1808
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Country | US
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Telephone | 201-894-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 81 HENNING DR
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City | FAIRFIELD
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State | NJ
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Zip | 07004-1847
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Country | US
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Telephone | 201-704-4794
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00823000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 26NJ00823000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00823000
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License Number State | NJ
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