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General NPI Number Information
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NPI Number | 1679117774
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Entity Type | Individual
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Provider Name | ASHLEY ORIELLE ROANE APN
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Gender | Female
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Dates
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Enumeration Date | 10/31/2019
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 1511 CLEMENTS BRIDGE RD
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City | DEPTFORD
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State | NJ
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Zip | 08096-3007
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Country | US
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Telephone | 856-845-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 801 W PARK AVE APT 18C
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City | CLEMENTON
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State | NJ
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Zip | 08021-3632
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Country | US
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Telephone | 609-941-6133
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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 | 26NJ00978100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ00978100
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License Number State | NJ
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