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General NPI Number Information
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NPI Number | 1811705833
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Entity Type | Individual
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Provider Name | BERNARD BANDONG APN
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Gender | Male
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 146 NEW BRUNSWICK AVE
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City | HOPELAWN
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State | NJ
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Zip | 08861-2242
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Country | US
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Telephone | 732-697-1919
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Fax | 800-954-0789
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Provider Business Mailing Address
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Address Line | 146 NEW BRUNSWICK AVE
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City | HOPELAWN
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State | NJ
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Zip | 08861-2242
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Country | US
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Telephone | 732-697-1919
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Fax | 800-954-0789
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ15223400
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License Number State | NJ
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