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General NPI Number Information
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NPI Number | 1053232835
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Entity Type | Individual
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Provider Name | NICHOLAS HNATYSHYN
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Gender | Male
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 350 ENGLE ST # 7631
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-1808
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Country | US
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Telephone | 201-894-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 820 17TH ST UNIT 2
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City | UNION CITY
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State | NJ
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Zip | 07087-1928
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Country | US
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Telephone | 985-634-1980
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 921440
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 26NR25737800
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License Number State | NJ
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