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General NPI Number Information
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NPI Number | 1821782558
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Entity Type | Individual
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Provider Name | PAULA SHUSTER NP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 461 PARK AVE S FL 7
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City | NEW YORK
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State | NY
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Zip | 10016-7575
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Country | US
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Telephone | 973-769-2782
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Fax |
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Provider Business Mailing Address
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Address Line | 19 HIGHMOUNT AVE
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City | WARREN
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State | NJ
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Zip | 07059-5435
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Country | US
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Telephone | 973-769-2782
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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 | 405019
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License Number State | NY
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