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General NPI Number Information
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NPI Number | 1700740941
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Entity Type | Individual
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Provider Name | STEPHANIE MARIE MCCOOL PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1 LUPTON AVE
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City | WOODBURY
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State | NJ
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Zip | 08096-5901
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Country | US
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Telephone | 856-537-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 10 MAINE AVE
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City | CHERRY HILL
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State | NJ
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Zip | 08002-3009
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Country | US
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Telephone | 215-384-4924
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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 | 26NJ15462100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP034620
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License Number State | PA
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