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General NPI Number Information
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NPI Number | 1467673483
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Entity Type | Individual
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Provider Name | JEANNE M. KILROY MSN, NP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 05/24/2010
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Provider Practice Location Address
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Address Line | 275 PATTERSON AVENUE 1ST FLOOR
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City | LITTLE FALLS
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State | NJ
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Zip | 07424
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Country | US
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Telephone | 973-785-3334
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Fax | 973-785-7760
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Provider Business Mailing Address
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Address Line | 275 PATTERSON AVENUE 1ST FLOOR
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City | LITTLE FALLS
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State | NJ
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Zip | 07424
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Country | US
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Telephone | 973-785-3334
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Fax | 973-785-7760
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 25MA03690100
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License Number State | NJ
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