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General NPI Number Information
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NPI Number | 1508931098
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Entity Type | Individual
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Provider Name | ANASTASIA M DONNELLY ANPC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2131 HIGHWAY 33
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City | HAMILTON
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State | NJ
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Zip | 08690
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Country | US
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Telephone | 609-585-4900
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Fax | 609-585-5490
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Provider Business Mailing Address
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Address Line | 2131 RT 33 LEXINGTON SQUARE COMMONS
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City | HAMILTON
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State | NJ
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Zip | 08690
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Country | US
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Telephone | 609-585-4900
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Fax | 609-585-4902
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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 | 26NJ00079400
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License Number State | NJ
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