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General NPI Number Information
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NPI Number | 1588553341
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Entity Type | Individual
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Provider Name | KARYN JEWELLE LA CANNA MSN, RN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/28/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 110 REHILL AVE
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City | SOMERVILLE
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State | NJ
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Zip | 08876-2519
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Country | US
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Telephone | 908-685-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 303 RED CREST LN
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City | BRANCHBURG
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State | NJ
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Zip | 08876-7204
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Country | US
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Telephone | 908-655-6340
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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 | 26NJ15379900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR21901400
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License Number State | NJ
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