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General NPI Number Information
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NPI Number | 1952374589
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Entity Type | Individual
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Provider Name | JILL K TYLER RN APN-C
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Gender | Female
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1203 N HIGH ST UNIT B
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City | MILLVILLE
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State | NJ
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Zip | 08332-2530
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Country | US
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Telephone | 856-293-7466
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Fax | 856-293-7472
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Provider Business Mailing Address
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Address Line | 1203 N HIGH ST UNIT B
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City | MILLVILLE
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State | NJ
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Zip | 08332-2530
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Country | US
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Telephone | 856-293-7466
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Fax | 856-293-7472
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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 | 26NJ00020100
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License Number State | NJ
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