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General NPI Number Information
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NPI Number | 1396142444
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Entity Type | Individual
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Provider Name | BINU THOMAS
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Gender | Female
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Dates
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Enumeration Date | 12/03/2014
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 131 MORRISTOWN RD
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-1654
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Country | US
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Telephone | 732-434-8736
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Fax |
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Provider Business Mailing Address
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Address Line | 2 SURIM CT
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City | NANUET
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State | NY
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Zip | 10954-5103
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Country | US
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Telephone | 973-609-2753
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00505900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ00505900
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License Number State | NJ
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