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General NPI Number Information
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NPI Number | 1679921159
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Entity Type | Individual
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Provider Name | AWELE A UGELE
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Gender | Female
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1 RIVERFRONT PLZ STE 300
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City | NEWARK
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State | NJ
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Zip | 07102-5412
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Country | US
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Telephone | 201-273-7047
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Fax | 855-998-4458
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Provider Business Mailing Address
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Address Line | 151 KNOLLCROFT RD
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City | LYONS
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State | NJ
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Zip | 07939-5001
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Country | US
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Telephone |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ00640000
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License Number State | NJ
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