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General NPI Number Information
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NPI Number | 1609478684
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Entity Type | Individual
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Provider Name | DANIELLE KATHRYN CONSTANDIS APN
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Gender | Female
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 03/15/2021
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Provider Practice Location Address
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Address Line | 201 LYONS AVE
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City | NEWARK
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State | NJ
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Zip | 07112-2027
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Country | US
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Telephone | 973-926-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 4 CEDAR RIDGE RD
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City | CHESTER
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State | NJ
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Zip | 07930-2842
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ01084100
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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 | 26NR16940600
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License Number State | NJ
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