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General NPI Number Information
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NPI Number | 1982871638
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Entity Type | Individual
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Provider Name | ADRIANNA KOMESHOK APN-ADULT NP
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Gender | Female
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 63 BEAVERBROOK RD STE 102
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City | LINCOLN PARK
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State | NJ
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Zip | 07035-1440
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Country | US
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Telephone | 973-709-8300
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Fax | 908-552-7915
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Provider Business Mailing Address
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Address Line | 63 BEAVERBROOK RD STE 102
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City | LINCOLN PARK
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State | NJ
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Zip | 07035-1440
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Country | US
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Telephone | 973-709-8300
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Fax | 908-552-7915
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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 | 26NJ00158900
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License Number State | NJ
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