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General NPI Number Information
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NPI Number | 1477075497
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Entity Type | Individual
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Provider Name | SAMANTHA N SINGH NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 07/11/2017
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Last Update Date | 01/27/2020
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Provider Practice Location Address
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Address Line | 506 BROADWAY
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City | BAYONNE
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State | NJ
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Zip | 07002-3712
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Country | US
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Telephone | 201-471-7012
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Fax | 201-471-7014
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Provider Business Mailing Address
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Address Line | 305 ARMSTRONG AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07305-2101
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Country | US
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Telephone | 201-333-8575
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Fax | 201-333-8575
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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 | 26NJ00728300
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License Number State | NJ
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