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General NPI Number Information
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NPI Number | 1497861678
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Entity Type | Individual
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Provider Name | DARA HEINLEIN NPP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 515 VALLEY ST STE 203
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-4300
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Country | US
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Telephone | 908-663-2929
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Fax | 902-219-6213
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Provider Business Mailing Address
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Address Line | 185 GREEN STREET STE 2
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City | KINGSTON
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State | NY
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Zip | 12401
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Country | US
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Telephone | 845-339-3736
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Fax | 845-339-6731
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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 | F4009681
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F400968
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License Number State | NY
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