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General NPI Number Information
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NPI Number | 1588665491
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Entity Type | Organization
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Legal Business Name | ATLANTIC COUNTY PUBLIC HEALTH DEPARTMENT
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 SHORE RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-2319
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Country | US
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Telephone | 609-645-7700
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Fax | 609-272-8490
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Provider Business Mailing Address
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Address Line | 616 W VERNON AVE
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City | LINWOOD
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State | NJ
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Zip | 08221-1323
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Country | US
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Telephone | 609-601-1763
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Fax | 609-272-8490
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. BARBARA J. KENNEDY
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Credential | APN
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Telephone | 609-645-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 26NN09780200
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License Number State | NJ
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