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General NPI Number Information
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NPI Number | 1548975840
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Entity Type | Individual
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Provider Name | ASHLEY ACEVEDO NP
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Gender | Female
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 125 CHUBB AVE STE 100
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City | LYNDHURST
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State | NJ
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Zip | 07071-3504
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Country | US
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Telephone | 201-559-7600
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Fax | 833-397-1793
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Provider Business Mailing Address
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Address Line | 531 TINTON AVE
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City | TINTON FALLS
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State | NJ
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Zip | 07724-3211
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Country | US
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Telephone | 848-404-6717
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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 | 26NJ01414900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ01414900
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License Number State | NJ
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