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NPI 1770008302

NPI 1770008302 : LAUREN GASPARINI APN : LIVINGSTON, NJ

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General NPI Number Information
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    NPI Number           |    1770008302
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN GASPARINI APN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2017
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    Last Update Date     |    07/27/2018
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Provider Practice Location Address
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    Address Line         |    94 OLD SHORT HILLS RD 
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    City                 |    LIVINGSTON
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    State                |    NJ
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    Zip                  |    07039
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    Country              |    US
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    Telephone            |    973-322-5207
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    30B VREELAND RD STE 200 
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    City                 |    FLORHAM PARK
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    State                |    NJ
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    Zip                  |    07932-1926
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    26NJ00754800
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    26NJ00754800
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    License Number State |    NJ
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