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General NPI Number Information
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NPI Number | 1497292445
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Entity Type | Individual
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Provider Name | JULIE JACOB APN
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Gender | Female
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 25A VREELAND RD
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1910
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Country | US
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Telephone | 908-964-6240
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Fax |
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Provider Business Mailing Address
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Address Line | 5 PLAINSBORO RD STE 300
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1915
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Country | US
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Telephone | 609-853-7272
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Fax | 609-853-7271
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ00703700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00703700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00703700
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License Number State | NJ
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