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General NPI Number Information
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NPI Number | 1437112760
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Entity Type | Individual
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Provider Name | JAMIE A RACKOFF APN
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Gender | Female
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Dates
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Enumeration Date | 04/08/2006
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Last Update Date | 10/08/2012
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Provider Practice Location Address
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Address Line | 4 ETHEL RD SUITE 402
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City | EDISON
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State | NJ
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Zip | 08817-2841
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Country | US
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Telephone | 732-287-3643
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Fax |
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Provider Business Mailing Address
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Address Line | 4 ETHEL RD SUITE 402
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City | EDISON
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State | NJ
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Zip | 08817-2841
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Country | US
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Telephone | 732-287-3643
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN543343
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | MW010124
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | SP009288
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR11571700
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 26NJ00261400
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License Number State | NJ
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