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General NPI Number Information
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NPI Number | 1427653112
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Entity Type | Individual
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Provider Name | PRISCILLA E ASARE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 590 WESTFIELD AVE STE 6
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City | WESTFIELD
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State | NJ
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Zip | 07090-3312
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Country | US
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Telephone | 908-666-6380
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Fax | 732-847-4827
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Provider Business Mailing Address
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Address Line | 590 WESTFIELD AVE STE 6
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City | WESTFIELD
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State | NJ
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Zip | 07090-3312
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Country | US
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Telephone | 908-666-6380
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Fax | 732-847-4827
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | HP0296700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15133700
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License Number State | NJ
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