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General NPI Number Information
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NPI Number | 1386713550
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Entity Type | Individual
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Provider Name | LORI KENNEDY RN MSN PNP (APN)
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | HUNTERDON DEVELOPMENTAL PEDIATRIC ASSOCIATES 190 ROUTE 31 SUITE 500
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City | FLEMINGTEN
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State | NJ
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Zip | 08822
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Country | US
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Telephone | 908-788-6650
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Fax | 908-788-6650
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Provider Business Mailing Address
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Address Line | 190 ROUTE 31 SUIT 500
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City | FLEMINGTEN
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State | NJ
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Zip | 08822
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Country | US
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Telephone | 908-788-6650
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Fax | 908-788-2578
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NN09088300
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License Number State | NJ
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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 | 26NN09088300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26 NO090088300
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License Number State | NJ
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