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General NPI Number Information
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NPI Number | 1477283158
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Entity Type | Individual
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Provider Name | EDNA LYN CORPUZ-ESCONDE N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 131 MORRISTOWN RD
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-1654
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Country | US
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Telephone | 908-303-9104
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Fax |
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Provider Business Mailing Address
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Address Line | 11 WOODSIDE AVE
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City | LITTLE FALLS
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State | NJ
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Zip | 07424-1315
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Country | US
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Telephone | 973-652-0000
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NO10757700
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License Number State | NJ
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