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General NPI Number Information
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NPI Number | 1235088444
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Entity Type | Individual
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Provider Name | CAROLINE ISABELLE DENUNZIO
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Gender | Female
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 375 MOUNT PLEASANT AVE STE 102
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City | WEST ORANGE
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State | NJ
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Zip | 07052-2751
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Country | US
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Telephone | 973-731-9442
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Fax | 973-731-2918
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Provider Business Mailing Address
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Address Line | 11 PIERPONT DR
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City | MONTCLAIR
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State | NJ
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Zip | 07042-4313
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Country | US
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Telephone | 973-731-9442
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ15472500
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License Number State | NJ
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