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General NPI Number Information
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NPI Number | 1407450075
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Entity Type | Individual
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Provider Name | GINA MARIE MUNKACSY APN
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Gender | Female
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 300 GRAND AVE
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4398
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Country | US
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Telephone | 201-816-1900
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Fax | 201-816-1777
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Provider Business Mailing Address
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Address Line | 70 ELSTON CT
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City | HASKELL
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State | NJ
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Zip | 07420-1151
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Country | US
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Telephone | 732-501-9530
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ01037300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ01037300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ01037300
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License Number State | NJ
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