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General NPI Number Information
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NPI Number | 1972653392
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Entity Type | Individual
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Provider Name | LEILANI EMMELINE FELICIANO APN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 350 ENGLE ST 4TH FLOOR, OFFICE 4255
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-1808
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Country | US
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Telephone | 201-894-3319
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Fax | 201-541-2980
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Provider Business Mailing Address
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Address Line | 350 ENGLE STREET
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City | ENGLEWOOD
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State | NJ
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Zip | 07631
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Country | US
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Telephone | 201-894-3319
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Fax | 201-541-2980
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 26NJ00114500
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License Number State | NJ
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