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General NPI Number Information
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NPI Number | 1417784364
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE MCCOOL PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 85 OLD STAGE RD
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City | SPOTSWOOD
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State | NJ
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Zip | 08884-1231
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Country | US
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Telephone | 732-838-4940
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Fax |
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Provider Business Mailing Address
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Address Line | 300 CARNEGIE CTR STE 150
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City | PRINCETON
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State | NJ
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Zip | 08540-6285
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Country | US
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Telephone | 732-208-0926
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MP00886500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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