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General NPI Number Information
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NPI Number | 1871535997
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Entity Type | Individual
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Provider Name | MARIE MARRINAN A.P.N.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1135 BROAD ST 3RD FLOOR SUITE 1
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City | CLIFTON
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State | NJ
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Zip | 07013-3346
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Country | US
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Telephone | 973-754-2196
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Fax |
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Provider Business Mailing Address
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Address Line | 703 MAIN ST ST. JOSEPH'S REGIONAL MEDICAL CENTER
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City | PATERSON
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State | NJ
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Zip | 07503-2621
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Country | US
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Telephone | 973-754-2052
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NN10514400
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License Number State | NJ
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