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General NPI Number Information
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NPI Number | 1215117247
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Entity Type | Individual
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Provider Name | JILL MELINDA MAGIONCALDA MSN, APRN, FNP- BC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 200 HIGHLAND AVE STE 100B
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City | GLEN RIDGE
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State | NJ
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Zip | 07028-1521
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Country | US
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Telephone | 973-559-0081
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Fax |
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Provider Business Mailing Address
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Address Line | 600 W LAS OLAS BLVD APT 1503S
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-7164
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Country | US
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Telephone | 203-979-2537
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3348033
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | F4009
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00792200
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 149123030
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 004877
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4009
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 337794
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License Number State | NY
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