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General NPI Number Information
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NPI Number | 1972715548
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Entity Type | Organization
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Legal Business Name | PRUDENTIAL FINANCIAL HEALTH & WELLNESS
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 213 WASHINGTON ST NJ-02-02-02
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City | NEWARK
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State | NJ
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Zip | 07102-2917
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Country | US
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Telephone | 973-802-6393
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Fax |
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Provider Business Mailing Address
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Address Line | 213 WASHINGTON ST NJ-02-02-02
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City | NEWARK
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State | NJ
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Zip | 07102-2917
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Country | US
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Telephone | 973-802-6393
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. K. ANDREW CRIGHTON
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Credential | M.D.
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Telephone | 973-802-9670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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