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General NPI Number Information
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NPI Number | 1417392127
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Entity Type | Individual
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Provider Name | SHARON S VENTURA APN-C
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Gender | Female
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 24 ELM ST
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City | HARRINGTON PARK
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State | NJ
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Zip | 07640-1902
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Country | US
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Telephone | 201-784-0123
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Fax | 201-784-0065
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Provider Business Mailing Address
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Address Line | 2 ECKEL RD
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City | LITTLE FERRY
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State | NJ
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Zip | 07643-2037
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Country | US
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Telephone | 201-440-1275
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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 | 26NJ00431200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F306308
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License Number State | NY
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