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General NPI Number Information
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NPI Number | 1104789288
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Entity Type | Individual
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Provider Name | NICOLE VINCENZA GINGERELLI
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 7 REGENT ST STE 701
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1628
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Country | US
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Telephone | 862-799-7627
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Fax |
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Provider Business Mailing Address
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Address Line | 250 RIDGEDALE AVE APT K6
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1330
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL07384600
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License Number State | NJ
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