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General NPI Number Information
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NPI Number | 1912057209
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Entity Type | Individual
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Provider Name | GISELE LAHENS-DENNIS PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 904 BAYONNE CROSSING WAY
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City | BAYONNE
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State | NJ
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Zip | 07002-5307
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Country | US
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Telephone | 551-497-5675
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Fax |
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Provider Business Mailing Address
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Address Line | 99 SAYREVILLE BLVD S
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City | SAYREVILLE
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State | NJ
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Zip | 08872-2166
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Country | US
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Telephone | 732-414-2286
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Fax | 646-221-8201
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 006793
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00232300
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License Number State | NJ
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