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General NPI Number Information
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NPI Number | 1144195421
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Entity Type | Individual
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Provider Name | NICOLE MARIE ZAMBETTI PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 114 LIEUTENANT MICHAEL CLEARY DRIVE
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City | DALLAS
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State | PA
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Zip | 18612
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Country | US
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Telephone | 570-675-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 114 LIEUTENANT MICHAEL CLEARY DRIVE
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City | DALLAS
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State | PA
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Zip | 18612
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Country | US
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Telephone | 570-675-2000
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA067131
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | OA007459
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License Number State | PA
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