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General NPI Number Information
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NPI Number | 1396339107
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Entity Type | Individual
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Provider Name | ELIZABETH M DYER NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/22/2021
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 600 S WHITE HORSE PIKE
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City | HAMMONTON
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State | NJ
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Zip | 08037-2014
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Country | US
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Telephone | 609-270-4260
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Fax |
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Provider Business Mailing Address
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Address Line | 112 JANET ST
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City | VINELAND
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State | NJ
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Zip | 08360-9616
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Country | US
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Telephone | 609-364-4937
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ01099400
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License Number State | NJ
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