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General NPI Number Information
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NPI Number | 1982176376
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Entity Type | Organization
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Legal Business Name | KINFOLK FAMILY HEALTH NP, PLLC
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Dates
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Enumeration Date | 12/22/2018
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 292 BLOOMFIELD AVE FL 2
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3624
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Country | US
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Telephone | 973-500-6773
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Fax | 973-453-4066
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Provider Business Mailing Address
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Address Line | 16 EASTWOOD ST
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City | EAST ORANGE
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State | NJ
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Zip | 07017-2013
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Country | US
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Telephone | 973-500-6773
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Fax | 973-453-4066
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAKIYAH JONES
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Credential | DNP, FNP-BC
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Telephone | 973-500-6773
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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 |
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License Number State |
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