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General NPI Number Information
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NPI Number | 1497641591
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Entity Type | Individual
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Provider Name | NICOLE ELIZABETH SASSO MS, PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 34 MAPLE ST
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City | NORWALK
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State | CT
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Zip | 06850-3894
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Country | US
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Telephone | 203-852-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 96 PLYMOUTH DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-2728
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Country | US
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Telephone | 908-692-1520
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 23.007187
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License Number State | CT
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