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General NPI Number Information
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NPI Number | 1932911385
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Entity Type | Individual
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Provider Name | MARIA THERESA GRATH NP
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 101 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7357
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Country | US
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Telephone | 973-267-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 11 RICHWOOD PL
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City | DENVILLE
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State | NJ
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Zip | 07834-2614
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Country | US
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Telephone | 973-476-3022
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 26NJ15257500
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License Number State | NJ
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