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General NPI Number Information
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NPI Number | 1881665610
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Entity Type | Individual
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Provider Name | LAVERNE ANN MUSCIO RN APN
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Gender | Female
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1945 CORLIES AVE
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City | NEPTUNE
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State | NJ
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Zip | 07753-4859
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Country | US
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Telephone | 732-776-4271
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Fax |
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Provider Business Mailing Address
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Address Line | 19 CORLIES AVE
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City | ALLENHURST
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State | NJ
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Zip | 07711-1009
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Country | US
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Telephone | 732-531-5294
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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 | 26NR05541500
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License Number State | NJ
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