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General NPI Number Information
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NPI Number | 1366676702
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Entity Type | Organization
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Legal Business Name | SETON HALL UNIVERSITY
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 400 S ORANGE AVE
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-2646
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Country | US
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Telephone | 973-761-9175
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Fax | 973-761-9193
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Provider Business Mailing Address
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Address Line | 400 S ORANGE AVE
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-2646
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Country | US
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Telephone | 973-761-9175
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Fax | 973-761-9193
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Authorized Official
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Title or Position | DIRECTOR, HEALTH SERVICES
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Name | JOAN OSTHUES
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Credential |
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Telephone | 973-761-9175
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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