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General NPI Number Information
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NPI Number | 1992906085
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Entity Type | Individual
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Provider Name | JACQUELINE BELL-BOWE APN
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 690 BROADWAY FL 4
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City | BAYONNE
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State | NJ
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Zip | 07002-4725
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Country | US
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Telephone | 201-823-5000
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Fax | 201-823-8173
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Provider Business Mailing Address
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Address Line | 1045 KENYON AVE
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City | PLAINFIELD
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State | NJ
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Zip | 07060-2805
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Country | US
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Telephone | 908-561-1024
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NC05754300
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License Number State | NJ
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