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General NPI Number Information
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NPI Number | 1356338982
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Entity Type | Individual
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Provider Name | JENNIFER L HART NP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 12/12/2012
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Provider Practice Location Address
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Address Line | 11 THEATRE CTR
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City | SPARTA
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State | NJ
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Zip | 07871-2433
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Country | US
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Telephone | 973-726-3219
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Fax | 973-726-5221
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Provider Business Mailing Address
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Address Line | 11 THEATRE CTR
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City | SPARTA
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State | NJ
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Zip | 07871-2433
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Country | US
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Telephone | 973-726-3219
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Fax | 973-726-5221
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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 | NN0902100
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License Number State | NJ
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