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General NPI Number Information
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NPI Number | 1922877406
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Entity Type | Individual
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Provider Name | CANDICE C MCEWAN NP
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Gender | Female
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Dates
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Enumeration Date | 12/26/2023
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Last Update Date | 11/23/2025
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Provider Practice Location Address
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Address Line | 239 MAIN ST STE 2L
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City | WEST ORANGE
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State | NJ
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Zip | 07052-5646
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Country | US
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Telephone | 551-230-3797
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Fax |
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Provider Business Mailing Address
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Address Line | 239 MAIN ST STE 2L
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City | WEST ORANGE
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State | NJ
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Zip | 07052-5646
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Country | US
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Telephone | 551-230-3797
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 311708
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 807626
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1154894
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP61605693
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 15740
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AC008224
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ15026800
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License Number State | NJ
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