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General NPI Number Information
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NPI Number | 1821907726
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Entity Type | Individual
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Provider Name | PEI PEI APN
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Gender | Female
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 140 E HANOVER AVE
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927-2070
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Country | US
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Telephone | 973-971-5488
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Fax |
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Provider Business Mailing Address
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Address Line | 441 RATZER RD
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City | WAYNE
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State | NJ
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Zip | 07470-4101
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Country | US
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Telephone | 917-882-3046
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 26NJ15651300
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License Number State | NJ
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