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General NPI Number Information
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NPI Number | 1346895778
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Entity Type | Individual
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Provider Name | MARY MAY MONTENEGRO FNP- BC
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Gender | Female
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 601 WASHINGTON AVE STE J
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-2861
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Country | US
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Telephone | 609-497-4736
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Fax | 609-375-1800
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Provider Business Mailing Address
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Address Line | 601 WASHINGTON AVE STE J
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-2861
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Country | US
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Telephone | 609-467-4736
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Fax | 609-375-1800
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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 | 26NJ00942400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 405740
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00942400
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 349159
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License Number State | NY
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