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General NPI Number Information
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NPI Number | 1558268342
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Entity Type | Individual
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Provider Name | JEMILAT O SIJU
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Gender | Female
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Dates
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Enumeration Date | 10/23/2026
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Last Update Date | 10/23/2026
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Provider Practice Location Address
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Address Line | 414 CENTRE ST
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City | NUTLEY
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State | NJ
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Zip | 07110-1712
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Country | US
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Telephone | 862-216-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 20 LORELEI RD
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City | WEST ORANGE
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State | NJ
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Zip | 07052-1811
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Country | US
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Telephone | 862-216-0414
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ15203600
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License Number State | NJ
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