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General NPI Number Information
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NPI Number | 1649547571
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Entity Type | Individual
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Provider Name | CHRYSTAL KENISHA DORSEY RN, MSN, ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2011
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 101 BURRS RD STE C
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City | WESTAMPTON
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State | NJ
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Zip | 08060-5517
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Country | US
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Telephone | 609-702-7550
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Fax | 609-702-1277
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Provider Business Mailing Address
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Address Line | 402 LIPPINCOTT DR
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City | MARLTON
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State | NJ
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Zip | 08053-4112
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Country | US
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Telephone | 856-782-3300
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Fax | 856-504-8029
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ00336700
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License Number State | NJ
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