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General NPI Number Information
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NPI Number | 1013157791
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Entity Type | Individual
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Provider Name | MICHAEL PASQUALE MSN, RN, APN-C
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Gender | Male
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 703 MAIN ST
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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 | 973-754-3857
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Fax |
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Provider Business Mailing Address
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Address Line | 39 RAYMOND AVE
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City | NUTLEY
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State | NJ
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Zip | 07110-2234
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Country | US
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Telephone | 973-661-3677
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00185800
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License Number State | NJ
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