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General NPI Number Information
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NPI Number | 1003817875
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Entity Type | Individual
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Provider Name | NELLY HUPPERT MD
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Gender | Female
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1 CAPITAL WAY
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City | PENNINGTON
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State | NJ
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Zip | 08534-2520
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Country | US
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Telephone | 609-303-4244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 164
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City | ALLENHURST
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State | NJ
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Zip | 07711-0164
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Country | US
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Telephone | 732-300-1290
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 207260
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25MA07443200
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License Number State | NJ
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