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General NPI Number Information
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NPI Number | 1427306737
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Entity Type | Organization
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Legal Business Name | NP ADVANTAGE, LLC
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Dates
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Enumeration Date | 08/16/2012
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Last Update Date | 08/16/2012
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Provider Practice Location Address
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Address Line | 2210 DERBY DR
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City | CINNAMINSON
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State | NJ
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Zip | 08077-4518
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Country | US
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Telephone | 856-630-7723
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Fax | 856-303-1001
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Provider Business Mailing Address
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Address Line | 2210 DERBY DR
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City | CINNAMINSON
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State | NJ
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Zip | 08077-4518
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Country | US
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Telephone | 856-630-7723
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Fax | 856-303-1001
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. JOSEPH KIERNAN
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Credential |
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Telephone | 856-630-7723
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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 |
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License Number State |
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