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General NPI Number Information
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NPI Number | 1326826900
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Entity Type | Individual
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Provider Name | NICOLE PARIS RN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 717 N BEERS ST STE 2B
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City | HOLMDEL
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State | NJ
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Zip | 07733-1525
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Country | US
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Telephone | 732-264-2440
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Fax |
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Provider Business Mailing Address
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Address Line | 21 W JACK ST
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City | HAZLET
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State | NJ
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Zip | 07730-1814
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Country | US
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Telephone | 917-536-3872
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ14927300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 26NR16415500
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License Number State | NJ
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