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General NPI Number Information
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NPI Number | 1588374136
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Entity Type | Individual
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Provider Name | LORNA V. KOLOFF-CONNOR FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 742 US HIGHWAY 1 N
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City | ISELIN
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State | NJ
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Zip | 08830-2652
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Country | US
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Telephone | 732-362-3871
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Fax |
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Provider Business Mailing Address
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Address Line | 31 RAMBLING MEADOW CT
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City | TINTON FALLS
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State | NJ
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Zip | 07724-4002
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Country | US
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Telephone | 732-397-7681
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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 | 26NJ01402100
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License Number State | NJ
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