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General NPI Number Information
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NPI Number | 1457838245
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Entity Type | Individual
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Provider Name | DENISE M HARE APN
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Gender | Female
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 2 CAPITAL WAY STE 550
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City | PENNINGTON
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State | NJ
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Zip | 08534-2521
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Country | US
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Telephone | 609-303-4360
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Fax |
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Provider Business Mailing Address
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Address Line | 183 JEFFERSON RD
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City | PRINCETON
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State | NJ
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Zip | 08540-3307
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Country | US
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Telephone | 609-651-1190
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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 | 26NR18640900
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License Number State | NJ
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