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General NPI Number Information
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NPI Number | 1235982646
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Entity Type | Organization
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Legal Business Name | VIP PSYCHIATRY, LLC
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 901 W PARK AVE STE 213
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City | OCEAN
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State | NJ
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Zip | 07712-7271
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Country | US
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Telephone | 732-305-8107
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Fax | 845-203-8188
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Provider Business Mailing Address
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Address Line | 424 PARKER AVE
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City | DEAL
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State | NJ
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Zip | 07723-1433
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Country | US
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Telephone | 845-300-2823
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MOSHE FRANCES
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Credential | PMHNP-BC
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Telephone | 732-305-8107
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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 |
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License Number State |
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