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General NPI Number Information
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NPI Number | 1922426717
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Entity Type | Individual
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Provider Name | AMY ESTHER SCANLON APN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 1450 ALMONESSON RD STE 125
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City | DEPTFORD
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State | NJ
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Zip | 08096-5239
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Country | US
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Telephone | 856-223-0965
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Fax | 856-223-1044
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Provider Business Mailing Address
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Address Line | 134 BRIDGETON PIKE
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City | MULLICA HILL
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State | NJ
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Zip | 08062-2616
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Country | US
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Telephone | 856-507-2783
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Fax | 856-221-4138
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NR00485100
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License Number State | NJ
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