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General NPI Number Information
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NPI Number | 1710811799
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Entity Type | Organization
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Legal Business Name | ESSILFIE PSYCHIATRIC AND MENTAL HEALTH
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 921 PLEASANT VALLEY AVE # 631
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-1210
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Country | US
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Telephone | 302-538-9296
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Fax |
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Provider Business Mailing Address
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Address Line | 921 PLEASANT VALLEY AVE # 631
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-1210
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Country | US
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Telephone | 302-538-9296
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC MENTAL HEALTH NURSE PRA
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Name | GABRIEL ESSILFIE JR.
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Credential | NP
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Telephone | 856-558-2666
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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 |
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License Number State |
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