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General NPI Number Information
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NPI Number | 1740354554
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Entity Type | Individual
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Provider Name | MARY ANN LANCASTER APRN BC
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 500 NORTH BRIDGE STREET RICHARD HALL COMMUNITY MENTAL HEALTH CENTER
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City | BRIDGEWATER
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State | NJ
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Zip | 08807
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Country | US
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Telephone | 908-253-3166
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Fax | 908-704-1790
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Provider Business Mailing Address
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Address Line | 723 KEARNY AVENUE
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City | KEARNY
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State | NJ
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Zip | 07032-3005
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Country | US
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Telephone | 201-997-7303
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 26NO04712900
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License Number State | NJ
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