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General NPI Number Information
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NPI Number | 1407455967
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Entity Type | Organization
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Legal Business Name | MARIE JEAN SCHWARZ NURSE PRACTITIONER IN PSYCHIATRY PC
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Dates
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Enumeration Date | 10/25/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 133 E MAIN ST STE 3H
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City | BABYLON
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State | NY
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Zip | 11702-3517
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Country | US
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Telephone | 631-321-1500
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Fax | 631-321-1501
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Provider Business Mailing Address
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Address Line | 133 E MAIN ST STE 3H
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City | BABYLON
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State | NY
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Zip | 11702-3517
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Country | US
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Telephone | 631-321-1500
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Fax | 631-321-1501
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Authorized Official
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Title or Position | NURSE PRACTITIONER OF PSYCHIATRY
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Name | MARIE JEAN SCHWARZ
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Credential | NURSE PRACTITIONER
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Telephone | 631-321-1500
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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 |
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License Number State |
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