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General NPI Number Information
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NPI Number | 1124327002
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Entity Type | Individual
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Provider Name | HILDA A TUCUBAL PA
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Gender | Female
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 100 CAMPUS TOWN CIR STE 100
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City | EWING
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State | NJ
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Zip | 08638-1962
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Country | US
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Telephone | 609-799-7009
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Fax | 609-799-7808
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Provider Business Mailing Address
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Address Line | 90 MATAWAN RD STE 302
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City | MATAWAN
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State | NJ
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Zip | 07747-2653
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Country | US
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Telephone | 732-441-7177
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Fax | 732-441-7165
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00254400
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License Number State | NJ
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