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General NPI Number Information
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NPI Number | 1487177366
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Entity Type | Individual
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Provider Name | JOHN DEVINE NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 07/21/2017
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 801 ASBURY AVE STE 300
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City | OCEAN CITY
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State | NJ
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Zip | 08226-3641
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Country | US
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Telephone | 267-902-5509
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Fax |
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Provider Business Mailing Address
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Address Line | 801 ASBURY AVE STE 300
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City | OCEAN CITY
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State | NJ
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Zip | 08226-3641
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Country | US
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Telephone | 215-850-4538
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP017626
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP017626
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP017626
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License Number State | PA
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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 | SP017626
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ01294100
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License Number State | NJ
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