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General NPI Number Information
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NPI Number | 1386431195
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Entity Type | Individual
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Provider Name | MRS. SHANICE ESTHER KILPATRICK
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 201 PLEASANT HILL RD
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City | CHESTER
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State | NJ
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Zip | 07930-2141
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Country | US
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Telephone | 973-252-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 32 TISCO AVE
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City | HIGH BRIDGE
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State | NJ
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Zip | 08829-2501
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Country | US
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Telephone | 551-396-1851
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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