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General NPI Number Information
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NPI Number | 1780275891
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Entity Type | Individual
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Provider Name | GENNA LYNN GIORDANO PA
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Gender | Female
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 100 CRAIG RD
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City | MANALAPAN
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State | NJ
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Zip | 07726-8787
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Country | US
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Telephone | 732-414-6506
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Fax | 732-414-6507
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Provider Business Mailing Address
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Address Line | 137 HILLSIDE DR
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City | NEPTUNE
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State | NJ
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Zip | 07753-5519
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Country | US
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Telephone | 718-619-0842
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 026367
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00783400
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License Number State | NJ
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