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General NPI Number Information
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NPI Number | 1477211381
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Entity Type | Organization
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Legal Business Name | ADVANCE HEALTHCARE ASSOCIATES LLC
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Dates
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Enumeration Date | 12/08/2021
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Last Update Date | 06/18/2022
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Provider Practice Location Address
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Address Line | 1806 HWY 35 STE 102
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City | OAKHURST
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State | NJ
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Zip | 07755-2766
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Country | US
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Telephone | 848-200-3009
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Fax | 833-795-1978
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Provider Business Mailing Address
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Address Line | 1806 HWY 35 STE 102
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City | OAKHURST
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State | NJ
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Zip | 07755-2766
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Country | US
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Telephone | 848-200-3009
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Fax | 833-795-1978
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. BELEN ASSEMU
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Credential | FNP-C
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Telephone | 848-200-3009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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