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General NPI Number Information
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NPI Number | 1376329557
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Entity Type | Individual
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Provider Name | ALEXIA ANNA NOLETTE AGACNP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 506 6TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-3609
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Country | US
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Telephone | 718-780-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS ROAD BLDG. 2, SUITE 220
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City | RED BANK
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State | NJ
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Zip | 07701
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Country | US
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Telephone | 732-807-0800
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Fax | 201-751-1680
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NR18876100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 717572
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 432743
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License Number State | NY
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