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General NPI Number Information
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NPI Number | 1255392171
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Entity Type | Individual
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Provider Name | JEANNE M MARZITELLI ANP
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Gender | Female
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 27 S FRANKLIN TPKE
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City | RAMSEY
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State | NJ
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Zip | 07446-2550
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Country | US
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Telephone | 201-825-4448
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Fax |
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Provider Business Mailing Address
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Address Line | 11 RAMAPO LN
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City | UPPER SADDLE RIVER
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State | NJ
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Zip | 07458-1321
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00100500
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License Number State | NJ
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