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General NPI Number Information
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NPI Number | 1629254388
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Entity Type | Individual
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Provider Name | MARGARET JUDGE GORNY APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 01/12/2008
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 18 ADAMS WAY
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4335
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Country | US
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Telephone | 973-402-9554
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Fax |
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Provider Business Mailing Address
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Address Line | 20 HEMLOCK DR
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City | MONTVILLE
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State | NJ
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Zip | 07045-9719
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Country | US
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Telephone | 973-299-0801
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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 | 26NJ00135600
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License Number State | NJ
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