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General NPI Number Information
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NPI Number | 1396013975
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Entity Type | Organization
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Legal Business Name | CAPITAL HEALTH
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Dates
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Enumeration Date | 12/09/2011
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 832 BRUNSWICK AVE.
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City | TRENTON
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State | NJ
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Zip | 08638
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Country | US
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Telephone | 609-303-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 96 E BRANCH RD
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City | ALLENTOWN
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State | NJ
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Zip | 08501-2107
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC NURSE PRACTITIONER
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Name | MRS. MICHELE JENNINGS
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Credential | APN
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Telephone | 609-208-1402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 26N09477400
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License Number State | NJ
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