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General NPI Number Information
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NPI Number | 1760929921
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Entity Type | Individual
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Provider Name | SANDRA MASINO-KALINOWSKI APN
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Gender | Female
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 15 SCHOOL RD E SUITE 2
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City | MARLBORO
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State | NJ
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Zip | 07746-2062
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Country | US
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Telephone | 732-597-3327
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Fax |
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Provider Business Mailing Address
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Address Line | 557 SUSAN DR
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City | BRICK
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State | NJ
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Zip | 08723-6453
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Country | US
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Telephone | 732-597-3327
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR15827000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00703900
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License Number State | NJ
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