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General NPI Number Information
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NPI Number | 1669737755
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Entity Type | Organization
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Legal Business Name | RUTGERS NURSING FACULTY PRACTICE
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 274 S ORANGE AVE FL 3
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City | NEWARK
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State | NJ
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Zip | 07103-2419
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Country | US
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Telephone | 973-732-6040
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Fax | 862-902-7874
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Provider Business Mailing Address
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Address Line | 274 S ORANGE AVE FL 3
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City | NEWARK
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State | NJ
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Zip | 07103-2419
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Country | US
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Telephone | 973-732-6040
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Fax | 862-902-7874
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Authorized Official
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Title or Position | CEO
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Name | ANDREA NORBERG
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Credential | DNP,MS,RN
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Telephone | 973-972-5141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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