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General NPI Number Information
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NPI Number | 1881112175
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Entity Type | Individual
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Provider Name | PRUDENCE A ARTHUR
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Gender | Female
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 09/07/2017
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Provider Practice Location Address
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Address Line | 225 W JERSEY ST
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City | ELIZABETH
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State | NJ
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Zip | 07202-1301
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Country | US
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Telephone | 908-353-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 257 LINCOLN AVE
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City | UNION
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State | NJ
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Zip | 07083-8227
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Country | US
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Telephone | 973-461-3521
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00751200
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License Number State | NJ
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