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General NPI Number Information
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NPI Number | 1578019907
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Entity Type | Individual
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Provider Name | MONICA HYUN JU AN N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1468 MADISON AVE # 1157
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City | NEW YORK
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State | NY
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Zip | 10029-6508
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Country | US
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Telephone | 212-241-8087
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Fax |
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Provider Business Mailing Address
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Address Line | 600 12TH ST APT 507
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City | PALISADES PARK
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State | NJ
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Zip | 07650-2083
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Country | US
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Telephone | 347-301-4575
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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 | 307860
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 537603
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F307860
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License Number State | NY
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