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General NPI Number Information
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NPI Number | 1770157471
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Entity Type | Individual
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Provider Name | KRISTIE SPINDLER
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Gender | Female
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 1225 MCBRIDE AVE STE 220
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-3813
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Country | US
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Telephone | 973-790-1117
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Fax |
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Provider Business Mailing Address
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Address Line | 474 INNES RD
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City | WOOD RIDGE
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State | NJ
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Zip | 07075-1210
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Country | US
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Telephone | 201-397-5168
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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 | 26NJ01087300
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License Number State | NJ
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