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General NPI Number Information
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NPI Number | 1386535946
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Entity Type | Individual
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Provider Name | MARZENA VILLACORTA
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Gender | Female
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 3836 QUAKERBRIDGE RD STE 206
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City | HAMILTON
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State | NJ
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Zip | 08619-1006
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Country | US
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Telephone | 563-766-7014
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Fax |
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Provider Business Mailing Address
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Address Line | 5 MEADE DR
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City | HAMILTON
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State | NJ
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Zip | 08619-3014
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP032763
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License Number State | PA
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