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General NPI Number Information
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NPI Number | 1467169144
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Entity Type | Individual
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Provider Name | ROSHANA SEMPLE
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Gender | Female
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 04/05/2026
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Provider Practice Location Address
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Address Line | 506 3RD ST
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City | HOBOKEN
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State | NJ
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Zip | 07030-1970
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Country | US
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Telephone | 862-214-3192
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Fax |
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Provider Business Mailing Address
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Address Line | 19 STATE ST
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City | EAST ORANGE
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State | NJ
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Zip | 07017-1117
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Country | US
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Telephone | 802-360-2026
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0011088
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 26NR27468400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 026.0146203
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15442200
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License Number State | NJ
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