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General NPI Number Information
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NPI Number | 1295618064
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Entity Type | Individual
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Provider Name | BRIANNA GEORGIA BOLES DNP, APN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 2331 HIGHWAY 34
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City | MANASQUAN
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State | NJ
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Zip | 08736-1423
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Country | US
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Telephone | 732-280-3223
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Fax | 732-280-2626
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Provider Business Mailing Address
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Address Line | 15 TICONDEROGA AVE
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City | OCEANPORT
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State | NJ
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Zip | 07757-1726
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NR19559700
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License Number State | NJ
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