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General NPI Number Information
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NPI Number | 1801262704
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Entity Type | Individual
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Provider Name | STEPHANIE MARUCCI APN
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Gender | Female
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 129 GIAMMARINO AVE
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City | GIBBSTOWN
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State | NJ
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Zip | 08027-1311
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Country | US
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Telephone | 609-680-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 151 FRIES MILL RD STE 301
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2016
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Country | US
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Telephone | 856-513-4124
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00584400
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License Number State | NJ
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