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General NPI Number Information
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NPI Number | 1619227543
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Entity Type | Organization
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Legal Business Name | CAROL C. CORNFELDT, CNS, PA
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 20 COMMUNITY PL FOURTH FLOOR
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7500
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Country | US
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Telephone | 973-292-1890
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Fax | 973-539-3687
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Provider Business Mailing Address
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Address Line | 20 COMMUNITY PL FOURTH FLOOR
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7500
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Country | US
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Telephone | 973-292-1890
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Fax | 973-539-3687
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Authorized Official
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Title or Position | ADVANCED PRACTICE NURSE PRACTITIONE
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Name | CAROL C CORNFELDT
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Credential | CNS
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Telephone | 973-292-1890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 26NC03405800
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License Number State | NJ
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