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General NPI Number Information
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NPI Number | 1407924095
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Entity Type | Individual
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Provider Name | CHRISTA M MARCO APN
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 468 PARISH DR SUITE 6
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City | WAYNE
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State | NY
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Zip | 07470
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Country | US
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Telephone | 973-686-2777
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Fax | 973-686-2780
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Provider Business Mailing Address
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Address Line | 468 PARISH DR SUITE 6
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City | WAYNE
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State | NJ
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Zip | 07470-4671
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Country | US
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Telephone | 973-305-8300
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Fax | 973-305-8157
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NJ00093500
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License Number State | NJ
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