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General NPI Number Information
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NPI Number | 1790114965
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Entity Type | Individual
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Provider Name | STEPHANIE FERRARA C.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 701 S MAIN ST
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City | FORKED RIVER
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State | NJ
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Zip | 08731-5405
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Country | US
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Telephone | 609-250-4110
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Fax | 609-978-8977
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Provider Business Mailing Address
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Address Line | 2125 ROUTE 88 E
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City | BRICK
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State | NJ
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Zip | 08724-3273
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Country | US
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Telephone | 732-892-4548
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Fax | 732-892-0961
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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 | SP013317
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License Number State | PA
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