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General NPI Number Information
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NPI Number | 1962186684
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Entity Type | Individual
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Provider Name | JULIE ANNE MAURSTAD CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 1700 WHITEHORSE HAMILTON SQUARE RD
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City | HAMILTON
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State | NJ
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Zip | 08690-3536
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Country | US
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Telephone | 609-587-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 631 RIVER RD
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City | YARDLEY
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State | PA
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Zip | 19067-1906
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Country | US
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Telephone | 267-337-4309
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ01458900
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License Number State | NJ
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