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General NPI Number Information
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NPI Number | 1962877670
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Entity Type | Individual
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Provider Name | DR. CHERYLE EISELE
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Gender | Female
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 12/07/2015
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Provider Practice Location Address
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Address Line | 280 OLD TUCKAHOE RD
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City | WOODBINE
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State | NJ
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Zip | 08270-3132
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Country | US
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Telephone | 609-932-1392
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Fax |
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Provider Business Mailing Address
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Address Line | 280 OLD TUCKAHOE RD
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City | WOODBINE
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State | NJ
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Zip | 08270-3132
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Country | US
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Telephone | 609-932-1392
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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 | 364SW0102X
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Taxonomy Name | Women's Health Clinical Nurse Specialist
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License Number | 26NC03116800
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License Number State | NJ
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