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General NPI Number Information
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NPI Number | 1902404486
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Entity Type | Individual
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Provider Name | JENNA LIN BONI APN-C
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Gender | Female
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 210 MALAPARDIS RD STE 202
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927-1121
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Country | US
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Telephone | 973-240-5000
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Fax | 973-765-9366
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Provider Business Mailing Address
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Address Line | 210 MALAPARDIS RD STE 202
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927-1121
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Country | US
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Telephone | 973-240-5000
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Fax | 973-765-9366
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ01066100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ01066100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 26NJ01066100
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 26NJ01066100
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License Number State | NJ
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