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General NPI Number Information
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NPI Number | 1497513535
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Entity Type | Individual
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Provider Name | VINCENZO CALLA
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Gender | Male
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 123 EGG HARBOR RD STE 800
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City | SEWELL
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State | NJ
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Zip | 08080-9409
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Country | US
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Telephone | 856-689-7616
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Fax | 866-521-4015
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Provider Business Mailing Address
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Address Line | 27 8TH AVE
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1235
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Country | US
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Telephone | 856-237-6825
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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 | 26NJ15031700
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License Number State | NJ
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