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General NPI Number Information
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NPI Number | 1003732694
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Entity Type | Individual
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Provider Name | NICOLE ISAAC
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Gender |
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 553 CEDAR LN STE A
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City | TEANECK
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State | NJ
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Zip | 07666-1712
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Country | US
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Telephone | 201-836-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 2 KINDERKAMACK RD UNIT 433 APT 433
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City | HACKENSACK
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State | NJ
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Zip | 07601-4869
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Country | US
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Telephone | 862-596-2558
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ15567800
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License Number State | NJ
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