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General NPI Number Information
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NPI Number | 1134460413
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Entity Type | Individual
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Provider Name | VICTORIA R. THINNES N.P.
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Gender | Female
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Dates
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Enumeration Date | 03/11/2013
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 127 W 25TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10001-7207
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Country | US
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Telephone | 212-533-4040
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Fax | 212-533-4141
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Provider Business Mailing Address
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Address Line | 181 JEFFERSON AVE
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City | RIVER EDGE
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State | NJ
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Zip | 07661-2106
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Country | US
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Telephone | 201-310-5069
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 629962
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 401637
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License Number State | NY
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