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General NPI Number Information
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NPI Number | 1518528538
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Entity Type | Individual
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Provider Name | ARUNATEJA CHENNAREDDY NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 06/21/2019
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 865 STONE ST
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City | RAHWAY
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State | NJ
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Zip | 07065-2742
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Country | US
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Telephone | 732-499-6031
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Fax |
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Provider Business Mailing Address
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Address Line | 245 NEW RD
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-2318
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Country | US
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Telephone | 732-882-9197
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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 | C-APN.0106194-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 26NR15253800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00949700
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License Number State | NJ
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