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General NPI Number Information
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NPI Number | 1083259469
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Entity Type | Individual
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Provider Name | MARY J VIGNALI AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/09/2019
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 10 JAMES ST STE 150
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1426
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Country | US
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Telephone | 973-822-2000
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Fax | 973-822-2001
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Provider Business Mailing Address
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Address Line | 10 JAMES ST STE 150
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1426
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Country | US
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Telephone | 973-822-2000
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Fax | 973-822-2001
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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 | 26NJ00979200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ00979200
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License Number State | NJ
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