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General NPI Number Information
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NPI Number | 1215858972
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Entity Type | Individual
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Provider Name | MARISSA ROWLEY
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Gender |
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 125 E 23RD ST STE 300
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City | NEW YORK
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State | NY
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Zip | 10010-4588
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Country | US
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Telephone | 917-810-0620
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Fax |
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Provider Business Mailing Address
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Address Line | 326 PROSPECT AVE APT 7C
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City | HACKENSACK
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State | NJ
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Zip | 07601-2612
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Country | US
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Telephone | 201-803-5062
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 408960
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License Number State | NY
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