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General NPI Number Information
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NPI Number | 1104126846
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Entity Type | Individual
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Provider Name | ELIZABETH MARIE CAGNOLATTI FNP
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Gender | Female
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Dates
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Enumeration Date | 10/28/2010
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 4933 WABASH ST
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City | METAIRIE
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State | LA
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Zip | 70001-1031
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Country | US
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Telephone | 504-780-2766
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Fax | 504-308-3283
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Provider Business Mailing Address
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Address Line | 211 BOULEVARD OF THE AMERICAS SUITE 503
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City | LAKEWOOD
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State | NJ
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Zip | 08701
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Country | US
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Telephone | 732-967-2635
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Fax | 504-218-4607
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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 | AP06309
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License Number State | LA
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