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General NPI Number Information
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NPI Number | 1699285569
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Entity Type | Individual
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Provider Name | RAECHEL JEAN LOFARO MSN, APN
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Gender | Female
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Dates
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Enumeration Date | 10/05/2017
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 8 CHESTNUT HIL ROAD
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City | RANDOLPH
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State | NJ
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Zip | 07869
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Country | US
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Telephone | 201-738-3224
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CHESTNUT HILL RD
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City | RANDOLPH
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State | NJ
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Zip | 07869-4706
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F09170899
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License Number State | NJ
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