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General NPI Number Information
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NPI Number | 1508514118
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Entity Type | Individual
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Provider Name | YOLENE AUGUSTE APN
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Gender | Female
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Dates
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Enumeration Date | 03/13/2022
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Last Update Date | 03/13/2022
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Provider Practice Location Address
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Address Line | 19 BROWN ST
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3012
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Country | US
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Telephone | 973-738-9421
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 822
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-0822
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Country | US
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Telephone | 973-738-9421
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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 | 25NJ01256200
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License Number State | NJ
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