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General NPI Number Information
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NPI Number | 1548643430
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Entity Type | Individual
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Provider Name | BRIANNA SCANCARELLA PMHNP, RN
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Gender | Female
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 55 SKYLINE DR
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City | SPARTA
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State | NJ
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Zip | 07871-3434
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Country | US
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Telephone | 973-435-6331
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Fax | 973-435-6652
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Provider Business Mailing Address
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Address Line | 130 POWERVILLE RD
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City | BOONTON
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State | NJ
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Zip | 07005-8705
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Country | US
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Telephone |
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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 | 26NJ00659400
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License Number State | NJ
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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 | 26NR18605800
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License Number State | NJ
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