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General NPI Number Information
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NPI Number | 1962899658
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Entity Type | Individual
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Provider Name | JENNIFER SCIRIA APN-C
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Gender | Female
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 333 FORSGATE DR SUITE 205
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City | JAMESBURG
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State | NJ
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Zip | 08831-1567
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Country | US
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Telephone | 732-521-1210
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Fax |
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Provider Business Mailing Address
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Address Line | 3 BOBBY JONES CT
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City | FARMINGDALE
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State | NJ
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Zip | 07727-3868
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Country | US
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Telephone | 732-687-2210
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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 | 26NJ00564200
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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 | 26NJ00564200
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License Number State | NJ
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