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General NPI Number Information
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NPI Number | 1740288406
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Entity Type | Individual
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Provider Name | EMMA C STAFFORD RN, APNC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 444 NEPTUNE BLVD FL 2
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City | NEPTUNE
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State | NJ
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Zip | 07753-4800
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Country | US
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Telephone | 732-775-5300
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Fax | 732-775-1737
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Provider Business Mailing Address
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Address Line | 27 SOUTH COOKS BRIDGE ROAD SUITE 2-3
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City | JACKSON
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State | NJ
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Zip | 08527-2524
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Country | US
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Telephone | 732-994-7855
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Fax | 732-242-6688
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00016400
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License Number State | NJ
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