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General NPI Number Information
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NPI Number | 1518866359
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Entity Type | Organization
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Legal Business Name | JOSEPH R BOLANTE CHILD AND ADULT PSYCHIATRY LLC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 411 HACKENSACK AVE FL 2
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City | HACKENSACK
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State | NJ
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Zip | 07601-6328
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Country | US
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Telephone | 201-616-1371
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Fax |
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Provider Business Mailing Address
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Address Line | 159 SPRING VALLEY RD
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City | PARAMUS
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State | NJ
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Zip | 07652-5333
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Country | US
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Telephone | 201-616-1371
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Fax |
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Authorized Official
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Title or Position | OWNER / MANAGING MEMBER
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Name | JOSEPH R BOLANTE
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Credential | APN PMHNP-BC
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Telephone | 201-616-1371
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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 |
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License Number State |
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