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General NPI Number Information
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NPI Number | 1548890163
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Entity Type | Individual
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Provider Name | MARIA COUTINHO APN
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Gender | Female
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 475 JACK MARTIN BOULEVARD
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City | BRICK
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State | NJ
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Zip | 08724
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Country | US
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Telephone | 732-678-7883
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Fax |
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Provider Business Mailing Address
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Address Line | 1236 ROUTE 166 STE 111
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City | TOMS RIVER
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State | NJ
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Zip | 08753-2743
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Country | US
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Telephone | 732-678-7883
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NP01008600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ01008600
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License Number State | NJ
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