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General NPI Number Information
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NPI Number | 1538063615
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Entity Type | Organization
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Legal Business Name | MARCO BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 1405 CHEWS LANDING RD STE 21
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City | LAUREL SPRINGS
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State | NJ
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Zip | 08021-2769
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Country | US
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Telephone | 856-485-6763
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Fax | 856-221-2688
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Provider Business Mailing Address
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Address Line | 1405 CHEWS LANDING RD STE 21
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City | LAUREL SPRINGS
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State | NJ
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Zip | 08021-2769
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Country | US
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Telephone | 856-485-6763
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Fax | 856-221-2688
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MICHAEL JOHN MARCO III
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Credential | MSN, PMHNP-BC
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Telephone | 856-485-6763
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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 | NULL
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