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General NPI Number Information
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NPI Number | 1851697890
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Entity Type | Individual
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Provider Name | ANN EVALINE PHIFER APN-BC
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Gender | Female
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Dates
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Enumeration Date | 02/09/2011
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Last Update Date | 02/09/2011
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Provider Practice Location Address
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Address Line | 1038 E CHESTNUT AVE STE 120
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City | VINELAND
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State | NJ
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Zip | 08360-5800
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Country | US
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Telephone | 856-507-8448
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Fax | 856-507-2709
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Provider Business Mailing Address
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Address Line | 1038 E CHESTNUT AVE STE 120
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City | VINELAND
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State | NJ
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Zip | 08360-5800
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Country | US
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Telephone | 856-507-8548
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Fax | 856-507-2709
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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 | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 26NJ00141900
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License Number State | NJ
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