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General NPI Number Information
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NPI Number | 1487150314
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Entity Type | Individual
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Provider Name | ARMEEGRACE CAMPOS APN
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Gender | Female
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Dates
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Enumeration Date | 03/31/2018
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 837 KEARNY AVE
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City | KEARNY
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State | NJ
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Zip | 07032
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Country | US
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Telephone | 862-238-8250
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Fax |
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Provider Business Mailing Address
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Address Line | 837 KEARNY AVE
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City | KEARNY
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State | NJ
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Zip | 07032-3241
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Country | US
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Telephone | 617-459-8677
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00805700
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License Number State | NJ
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