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General NPI Number Information
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NPI Number | 1114219094
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Entity Type | Individual
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Provider Name | MONIQUE CECELIA GANTIER PMHNP-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 115 US HIGHWAY 46, BLDG F, STE 1
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1668
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Country | US
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Telephone | 347-204-6090
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Fax | 844-718-0075
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Provider Business Mailing Address
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Address Line | 115 US HIGHWAY, BLDG F, 46 STE 1
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1668
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Country | US
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Telephone | 347-204-6090
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Fax | 844-718-0075
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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 | 26NJ00404700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00404700
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License Number State | NJ
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