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General NPI Number Information
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NPI Number | 1255297529
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Entity Type | Individual
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Provider Name | JUSTIN SCINOCCO RN
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Gender | Male
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 55 N OCEAN AVE
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City | FREEPORT
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State | NY
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Zip | 11520-3074
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Country | US
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Telephone | 516-965-1248
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Fax |
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Provider Business Mailing Address
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Address Line | 70 APOLLO CIR
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City | BETHPAGE
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State | NY
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Zip | 11714-3587
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Country | US
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Telephone |
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 774446
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License Number State | NY
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