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General NPI Number Information
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NPI Number | 1548616030
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Entity Type | Individual
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Provider Name | ENTELA AHMETI APN
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Gender | Female
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 65 W JIMMIE LEEDS RD FL 1
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City | POMONA
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State | NJ
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Zip | 08240-9102
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Country | US
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Telephone | 609-748-7089
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Fax | 609-652-3460
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Provider Business Mailing Address
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Address Line | 65 W JIMMIE LEEDS RD FL 1
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City | POMONA
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State | NJ
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Zip | 08240-9102
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Country | US
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Telephone | 609-748-7089
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Fax | 609-652-3460
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00639500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ00639500
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License Number State | NJ
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