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General NPI Number Information
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NPI Number | 1639310303
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Entity Type | Organization
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Legal Business Name | VICTORIA PAPPAS-VILLAFANE, APN, LLC
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 3301 ROUTE 66 BUILDING B, SUITE 106
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City | NEPTUNE
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State | NJ
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Zip | 07753-2705
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Country | US
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Telephone | 732-455-3870
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Fax | 732-455-3872
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Provider Business Mailing Address
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Address Line | 3301 ROUTE 66 BUILDING B, SUITE 106
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City | NEPTUNE
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State | NJ
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Zip | 07753-2705
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Country | US
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Telephone | 732-455-3870
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Fax | 732-455-3872
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Authorized Official
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Title or Position | OWNER
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Name | VICTORIA PAPPAS-VILLAFANE
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Credential | APN
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Telephone | 732-455-3870
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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 | 26NC05307100
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License Number State | NJ
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