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General NPI Number Information
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NPI Number | 1477754547
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Entity Type | Individual
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Provider Name | PETER JOHN OATES NP-C
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 274 S ORANGE AVE FL 3
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City | NEWARK
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State | NJ
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Zip | 07103-2419
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Country | US
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Telephone | 973-972-4150
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Fax | 973-972-4263
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Provider Business Mailing Address
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Address Line | 65 BERGEN STREET SSB 8TH FLOOR, ROOM 822
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City | NEWARK
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State | NJ
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Zip | 07107-3001
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Country | US
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Telephone | 973-313-1035
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Fax | 973-972-4263
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NN05735500
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License Number State | NJ
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