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General NPI Number Information
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NPI Number | 1932411030
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Entity Type | Individual
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Provider Name | JEAN MARIE RASIMOWICZ NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/07/2010
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 28 VALLEY RD SUITE 1, OFFICE #148
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City | MONTCLAIR
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State | NJ
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Zip | 07042
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Country | US
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Telephone | 201-273-7047
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Fax |
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Provider Business Mailing Address
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Address Line | 103 HAYTOWN RD
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City | LEBANON
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State | NJ
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Zip | 08833-4015
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Country | US
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Telephone | 908-455-2228
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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 | SP015806
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License Number State | PA
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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 | 26NJ00291200
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License Number State | NJ
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