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General NPI Number Information
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NPI Number | 1811038144
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Entity Type | Organization
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Legal Business Name | UMDNJ-SCHOOL OF NURSING
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 40 EAST LAUREL ROAD SUITE 2061
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City | STRATFORD
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State | NJ
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Zip | 08084
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Country | US
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Telephone | 856-566-6178
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Fax |
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Provider Business Mailing Address
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Address Line | 9 CLEMENTS HAND COURT
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City | SICKLERVILLE
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State | NJ
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Zip | 08081
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Country | US
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Telephone | 856-262-7289
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Fax |
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Authorized Official
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Title or Position | FULL TIME FACULTY-INSTRUCTOR
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Name | MRS. MICHELLE KATHERINE KAULBACK
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Credential | MSN,RN
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Telephone | 856-566-6178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 26NR10704500
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License Number State | NJ
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