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General NPI Number Information
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NPI Number | 1528504149
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Entity Type | Individual
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Provider Name | ALKABEN R SHELADIA MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/07/2017
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 44 JONES STREET
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City | NEWARK
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State | NJ
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Zip | 07103-0710
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Country | US
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Telephone | 973-878-9020
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Fax |
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Provider Business Mailing Address
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Address Line | 32 MONTICELLO WAY
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City | SOUTH RIVER
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State | NJ
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Zip | 08882-2702
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Country | US
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Telephone | 732-309-9403
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00690000
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License Number State | NJ
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