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General NPI Number Information
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NPI Number | 1952152308
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Entity Type | Individual
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Provider Name | CAROL LEE PARE APN
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Gender | Female
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 363 STATE ROUTE 36
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City | PORT MONMOUTH
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State | NJ
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Zip | 07758-1359
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Country | US
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Telephone | 732-471-0400
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Fax | 732-471-7949
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Provider Business Mailing Address
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Address Line | PO BOX 8519
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City | RED BANK
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State | NJ
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Zip | 07701-8519
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Country | US
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Telephone | 732-460-9840
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Fax | 732-460-9848
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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 | 26NR19687700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ15032200
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License Number State | NJ
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