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General NPI Number Information
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NPI Number | 1366972853
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Entity Type | Organization
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Legal Business Name | ROBIN FOLEY APN LLC
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 175 CEDAR LN STE A
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City | TEANECK
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State | NJ
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Zip | 07666-4315
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Country | US
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Telephone | 201-692-8354
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Fax |
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Provider Business Mailing Address
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Address Line | 175 CEDAR LN STE A
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City | TEANECK
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State | NJ
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Zip | 07666-4315
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Country | US
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Telephone | 201-692-8354
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | ROBIN FOLEY
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Credential | APN, PMHNP
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Telephone | 201-692-8354
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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 | 26NJ00152700
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License Number State | NJ
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