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General NPI Number Information
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NPI Number | 1356182356
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Entity Type | Individual
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Provider Name | TIRZAH ABITTAN
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Gender | Female
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 385 MORRIS AVE
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-1151
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Country | US
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Telephone | 973-379-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 41 WESTGATE RD APT F
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City | TEANECK
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State | NJ
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Zip | 07666-5023
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Country | US
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Telephone | 201-245-2498
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F05240588
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License Number State | NJ
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