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General NPI Number Information
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NPI Number | 1619766185
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Entity Type | Individual
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Provider Name | CRISTINA VLAS FNP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 651 ROUTE 73 N STE 311
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City | MARLTON
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State | NJ
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Zip | 08053-3446
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Country | US
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Telephone | 856-985-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 401 ROUTE 73 NORTH BUILDING 10, SUITE 320
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City | MARLTON
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State | NJ
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Zip | 08053
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Country | US
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Telephone | 856-872-7055
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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 | SP032826
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ15347700
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License Number State | NJ
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