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General NPI Number Information
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NPI Number | 1639013741
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Entity Type | Individual
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Provider Name | CAROLINE SEVERE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 7716 KENNEDY BLVD APT 1E
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-4181
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Country | US
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Telephone | 646-573-6643
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Fax |
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Provider Business Mailing Address
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Address Line | 8947 PONTIAC ST
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-2731
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 26NR25401500
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License Number State | NJ
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