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General NPI Number Information
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NPI Number | 1417772286
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Entity Type | Individual
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Provider Name | JOSHUA OZAWA-MORRIELLO MSN, RN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 370 GRAND AVE STE 102
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4109
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Country | US
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Telephone | 201-567-3370
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Fax |
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Provider Business Mailing Address
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Address Line | 210 INTERGLEN AVE
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City | RIVER VALE
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State | NJ
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Zip | 07675-6222
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Country | US
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Telephone | 201-394-5352
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F355443-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ15212500
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License Number State | NJ
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