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General NPI Number Information
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NPI Number | 1639576549
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Entity Type | Individual
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Provider Name | NORMA BARROS NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 425 70TH ST
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City | GUTTENBERG
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State | NJ
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Zip | 07093-2417
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Country | US
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Telephone | 201-854-0055
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Fax |
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Provider Business Mailing Address
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Address Line | 198 GODWIN AVE
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City | WYCKOFF
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State | NJ
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Zip | 07481-2018
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Country | US
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Telephone | 973-931-8060
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00535200
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License Number State | NJ
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