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General NPI Number Information
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NPI Number | 1487731139
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Entity Type | Individual
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Provider Name | AMY CZENIS APN
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 8025 BLACK HORSE PIKE STE 501
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City | PLEASANTVILLE
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State | NJ
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Zip | 08232-2967
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Country | US
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Telephone | 844-929-0225
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Fax | 609-822-7980
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Provider Business Mailing Address
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Address Line | 876 WESTMINSTER DR
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City | TOMS RIVER
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State | NJ
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Zip | 08753-4474
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Country | US
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Telephone | 732-288-0383
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Fax | 609-261-7199
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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 | 26NO09756900
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License Number State | NJ
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