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General NPI Number Information
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NPI Number | 1346661873
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Entity Type | Individual
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Provider Name | KATRINA DAAE APN
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Gender | Female
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Dates
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Enumeration Date | 12/31/2013
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 65 JAMES ST FL 2
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City | EDISON
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State | NJ
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Zip | 08820-3947
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Country | US
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Telephone | 732-321-7010
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Fax | 732-744-5827
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS ROAD BLDG. 2, SUITE 220
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City | RED BANK
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State | NJ
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Zip | 07701
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Country | US
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Telephone | 732-807-0877
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Fax | 201-751-1680
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F311086
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ01407300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ01407300
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License Number State | NJ
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