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General NPI Number Information
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NPI Number | 1841738010
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Entity Type | Organization
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Legal Business Name | BURCHELL ADVANCED PRACTICE SERVICES
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 03/12/2017
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Provider Practice Location Address
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Address Line | 978 ROUTE 45 SUITE L7
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City | POMONA
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State | NY
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Zip | 10970-3521
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Country | US
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Telephone | 201-248-5643
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Fax | 201-664-3050
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Provider Business Mailing Address
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Address Line | 109 CLAIRMONT DR SUITE L7
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City | WOODCLIFF LAKE
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State | NJ
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Zip | 07677-7635
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Country | US
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Telephone | 201-248-5643
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Fax | 201-664-3050
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Authorized Official
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Title or Position | CEO
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Name | DR. PATRICIA A BURCHELL
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Credential | DNP
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Telephone | 201-248-5643
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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 | F333129-1
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License Number State | NY
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