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NPI 1346683802

NPI 1346683802 : CHERRY PIE TIU APN-BC : NORTHFIELD, NJ

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General NPI Number Information
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    NPI Number           |    1346683802
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    Entity Type          |    Individual 
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    Provider Name        |    CHERRY PIE TIU APN-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/15/2013
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    Last Update Date     |    02/26/2026
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Provider Practice Location Address
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    Address Line         |    1418 NEW RD STE 1 
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    City                 |    NORTHFIELD
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    State                |    NJ
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    Zip                  |    08225-1179
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    Country              |    US
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    Telephone            |    609-798-7969
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    Fax                  |    866-493-0370
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Provider Business Mailing Address
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    Address Line         |    2106 NEW RD STE F2 
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    City                 |    LINWOOD
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    State                |    NJ
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    Zip                  |    08221-1053
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    Country              |    US
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    Telephone            |    609-796-7969
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    Fax                  |    866-493-0370
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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       |    26NJ00429800
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    26NJ00429800
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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       |    26NJ00429800
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    License Number State |    NJ
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