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General NPI Number Information
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NPI Number | 1679882740
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Entity Type | Individual
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Provider Name | HERMINA YVONNE WATERS MSN., APN., NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 1017 ABINGTON RD
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City | CHERRY HILL
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State | NJ
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Zip | 08034-3903
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Country | US
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Telephone | 856-270-7308
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Fax | 856-270-7309
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Provider Business Mailing Address
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Address Line | PO BOX 8283
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City | CHERRY HILL
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State | NJ
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Zip | 08002-0283
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Country | US
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Telephone | 856-270-7308
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Fax | 856-270-7309
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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 | 26NJ00301600
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License Number State | NJ
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