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General NPI Number Information
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NPI Number | 1174158299
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Entity Type | Individual
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Provider Name | EMILY COYLE APN
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Gender | Female
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 216 E RIDGEWOOD AVE STE 3B
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3849
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Country | US
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Telephone | 551-288-6543
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Fax | 551-212-3041
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Provider Business Mailing Address
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Address Line | 216 E RIDGEWOOD AVE STE 3B
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3849
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Country | US
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Telephone | 551-288-6543
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Fax | 551-212-3041
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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 | 26NJ01026600
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License Number State | NJ
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