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General NPI Number Information
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NPI Number | 1649035619
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Entity Type | Individual
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Provider Name | CONSTANCE NKEM OKPARA
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Gender | Female
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 540 NORTH AVE STE 4
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City | UNION
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State | NJ
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Zip | 07083-7149
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Country | US
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Telephone | 908-588-2445
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Fax | 908-558-0170
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Provider Business Mailing Address
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Address Line | 536 SEVEN OAKS RD
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City | ORANGE
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State | NJ
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Zip | 07050-3122
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Country | US
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Telephone | 973-280-2085
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ14984900
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License Number State | NJ
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