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General NPI Number Information
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NPI Number | 1255246625
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Entity Type | Organization
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Legal Business Name | RIVERSIDE PSYCHIATRIC HEALTH
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 42 OLD TPKE
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City | OLDWICK
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State | NJ
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Zip | 08858-7001
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Country | US
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Telephone | 908-505-8717
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84
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City | UPPER BLACK EDDY
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State | PA
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Zip | 18972-0084
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Country | US
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Telephone | 908-505-8717
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | PATRICIA MARIE CODY
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Credential | PMHNP-BC
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Telephone | 908-505-8717
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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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