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NPI 1245880210

NPI 1245880210 : ARIELLE NICOLE SOARES PA-C : PRINCETON, NJ

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General NPI Number Information
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    NPI Number           |    1245880210
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    Entity Type          |    Individual 
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    Provider Name        |    ARIELLE NICOLE SOARES PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/12/2019
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    Last Update Date     |    02/02/2026
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Provider Practice Location Address
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    Address Line         |    53 HULFISH ST 
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    City                 |    PRINCETON
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    State                |    NJ
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    Zip                  |    08542-3740
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    Country              |    US
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    Telephone            |    640-867-2100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1 ALPAUGH DR 
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    City                 |    ASBURY
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    State                |    NJ
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    Zip                  |    08802-1211
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    Country              |    US
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    Telephone            |    908-531-7306
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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       |    
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    License Number State |    
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