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General NPI Number Information
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NPI Number | 1346094778
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Entity Type | Individual
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Provider Name | FRANCES CAROL ZACEK APRN-BC, CWOCN, CNL
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Gender | Female
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Dates
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Enumeration Date | 04/12/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 150 BERGEN ST
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City | NEWARK
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State | NJ
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Zip | 07103-2496
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Country | US
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Telephone | 973-972-3031
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Fax | 973-972-5902
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Provider Business Mailing Address
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Address Line | 199 CONTINENTAL AVE
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City | COLONIA
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State | NJ
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Zip | 07067-2905
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Country | US
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Telephone | 201-600-3392
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Fax | 973-972-5902
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ15053900
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License Number State | NJ
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