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General NPI Number Information
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NPI Number | 1356151104
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Entity Type | Individual
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Provider Name | PRISCILLA NDULUE
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 100 SULLIVAN WAY
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City | EWING
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State | NJ
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Zip | 08628
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Country | US
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Telephone | 484-664-0160
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Fax |
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Provider Business Mailing Address
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Address Line | 82 DREWES CT
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2626
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Country | US
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Telephone | 732-532-7585
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15205400
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License Number State | NJ
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