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General NPI Number Information
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NPI Number | 1508671975
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Entity Type | Individual
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Provider Name | STEPHANIE BARON AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 741 NORTHFIELD AVE STE 205
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City | WEST ORANGE
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State | NJ
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Zip | 07052-1104
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Country | US
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Telephone | 215-895-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 53 LONGVIEW AVE
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City | RANDOLPH
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State | NJ
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Zip | 07869-3008
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Country | US
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Telephone | 201-572-5453
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ15228600
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License Number State | NJ
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