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General NPI Number Information
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NPI Number | 1124704598
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Entity Type | Individual
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Provider Name | JOSEPH LOUIS SPITALIERI
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Gender | Male
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 3600 ROUTE 66 STE 150
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City | NEPTUNE
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State | NJ
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Zip | 07753-2645
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Country | US
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Telephone | 646-580-1030
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Fax | 732-605-5890
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Provider Business Mailing Address
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Address Line | 3600 ROUTE 66 STE 150
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City | NEPTUNE
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State | NJ
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Zip | 07753-2645
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Country | US
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Telephone | 646-580-1030
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Fax | 732-605-5890
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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 | 405125
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 772936
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ14873000
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License Number State | NJ
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