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NPI 1386158079

NPI 1386158079 : CAROL ZEHLER PULLEY : MERCHANTVILLE, NJ

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General NPI Number Information
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    NPI Number           |    1386158079
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    Entity Type          |    Individual 
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    Provider Name        |    CAROL ZEHLER PULLEY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/17/2017
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    Last Update Date     |    12/11/2020
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Provider Practice Location Address
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    Address Line         |    124 LEXINGTON AVE 
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    City                 |    MERCHANTVILLE
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    State                |    NJ
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    Zip                  |    08109-2031
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    Country              |    US
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    Telephone            |    856-663-1121
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10 CAROLYN LN 
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    City                 |    SOUTHAMPTON
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    State                |    NJ
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    Zip                  |    08088-9643
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    Country              |    US
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    Telephone            |    609-859-2195
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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        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    26NJ00779000
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    26NJ00779000
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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       |    26NJ00779000
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    License Number State |    NJ
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