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General NPI Number Information
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NPI Number | 1477035715
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Entity Type | Individual
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Provider Name | KAREN E PANDOLA-DILOLLE AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 222 NEW RD STE 700
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City | LINWOOD
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State | NJ
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Zip | 08221-1286
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Country | US
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Telephone | 609-653-4343
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Fax | 609-653-2060
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Provider Business Mailing Address
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Address Line | 1 DIAMOND HILL RD
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City | BERKELEY HEIGHTS
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State | NJ
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Zip | 07922-2104
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Country | US
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Telephone | 908-273-4300
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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 | 163WU0100X
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Taxonomy Name | Urology Registered Nurse
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License Number | 26NO10707900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ00828600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NO10707900
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License Number State | NJ
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