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General NPI Number Information
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NPI Number | 1629466115
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Entity Type | Organization
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Legal Business Name | ALEXIS CUGINI, APN-C MEDICINE
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 1 ENTERPRISE DR
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-3504
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Country | US
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Telephone | 609-970-3750
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Fax |
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Provider Business Mailing Address
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Address Line | 817 COOLIDGE RD
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City | OCEAN CITY
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State | NJ
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Zip | 08226-3605
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Country | US
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Telephone | 609-970-3750
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ALEXIS CUGINI
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Credential | APN-C
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Telephone | 609-970-3750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 26NJ00297700
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License Number State | NJ
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