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General NPI Number Information
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NPI Number | 1871428649
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Entity Type | Individual
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Provider Name | ASHLEY TRAN KUSTAS PNP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 150 NEW PROVIDENCE RD
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-2590
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Country | US
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Telephone | 888-244-5373
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Fax |
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Provider Business Mailing Address
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Address Line | 260 HICKORY LN
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-1814
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Country | US
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Telephone | 972-904-7577
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 383734
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License Number State | NY
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