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General NPI Number Information
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NPI Number | 1881134161
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Entity Type | Organization
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Legal Business Name | VALERIE MAGRINO, PSYCHIATRIC NURSE PRACTITIONER, LLC
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 621 SHREWSBURY AVE
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4153
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Country | US
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Telephone | 732-444-8802
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Fax | 732-741-5599
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Provider Business Mailing Address
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Address Line | 621 SHREWSBURY AVE
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4153
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Country | US
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Telephone | 732-444-8802
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Fax | 732-741-5599
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE MAGRINO
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Credential |
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Telephone | 732-444-8802
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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 | 26NJ00658700
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License Number State | NJ
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