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General NPI Number Information
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NPI Number | 1568566636
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Entity Type | Individual
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Provider Name | THERESA FELZENBERG APN NP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 23 WHITE ST
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City | SHREWSBURY
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State | NJ
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Zip | 07702
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Country | US
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Telephone | 732-747-1555
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Fax | 732-741-8262
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Provider Business Mailing Address
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Address Line | 23 WHITE ST
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4477
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Country | US
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Telephone | 732-747-1555
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Fax | 732-741-8262
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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 | 26NN05381800
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License Number State | NJ
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