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General NPI Number Information
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NPI Number | 1477414092
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Entity Type | Individual
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Provider Name | NAZEH M TARGALI APN
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Gender | Male
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 183 DELAWARE AVE
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City | CLIFFWOOD
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State | NJ
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Zip | 07721-1024
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Country | US
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Telephone | 732-895-8773
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Fax |
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Provider Business Mailing Address
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Address Line | 727 N BEERS ST
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City | HOLMDEL
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State | NJ
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Zip | 07733-1514
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Country | US
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Telephone | 732-739-5937
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ15470800
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License Number State | NJ
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