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General NPI Number Information
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NPI Number | 1780912964
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Entity Type | Individual
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Provider Name | CAROLINE ANNE CUNNIFF APN
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Gender | Female
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Dates
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Enumeration Date | 11/25/2009
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 495 IRON BRIDGE RD SUITE 1
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City | FREEHOLD
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State | NJ
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Zip | 07728-3069
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Country | US
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Telephone | 732-577-0047
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Fax |
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Provider Business Mailing Address
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Address Line | 516 BANGS AVE
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City | ASBURY PARK
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State | NJ
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Zip | 07712-6902
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Country | US
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Telephone | 732-774-0262
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Fax | 732-775-8963
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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 | 26NJ00252900
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License Number State | NJ
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