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NPI 1689530834

NPI 1689530834 : GINIA SAINT VIL NP : SPRING VALLEY, NY

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General NPI Number Information
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    NPI Number           |    1689530834
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    Entity Type          |    Individual 
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    Provider Name        |    GINIA SAINT VIL NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/31/2025
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    Last Update Date     |    12/31/2025
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Provider Practice Location Address
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    Address Line         |    501 CHESTNUT RIDGE RD STE 310 
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    City                 |    SPRING VALLEY
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    State                |    NY
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    Zip                  |    10977-5669
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    Country              |    US
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    Telephone            |    267-265-0622
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    385 JOHNSON RD 
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    City                 |    SICKLERVILLE
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    State                |    NJ
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    Zip                  |    08081-9443
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    Country              |    US
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    Telephone            |    267-265-0622
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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        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    26NJ15494200
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    License Number State |    NJ
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