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General NPI Number Information
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NPI Number | 1588221618
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Entity Type | Individual
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Provider Name | MARY BETH ADAMS-TOMS APN-C
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Gender | Female
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 240 WILLIAMSON ST
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City | ELIZABETH
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State | NJ
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Zip | 07202-3674
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Country | US
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Telephone | 908-994-8672
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Fax |
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Provider Business Mailing Address
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Address Line | 21 RUNNING BROOK DR
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City | PERRINEVILLE
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State | NJ
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Zip | 08535-1309
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Country | US
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Telephone | 732-492-9994
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00828000
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License Number State | NJ
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