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General NPI Number Information
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NPI Number | 1437090487
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Entity Type | Individual
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Provider Name | ALLYSON FAREZ
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Gender | Female
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 363 W BROWNING RD
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City | BELLMAWR
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State | NJ
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Zip | 08031-1982
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Country | US
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Telephone | 856-333-3616
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Fax |
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Provider Business Mailing Address
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Address Line | 4 HANOVER RD
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City | MARLTON
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State | NJ
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Zip | 08053-1906
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ15539300
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License Number State | NJ
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