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General NPI Number Information
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NPI Number | 1538983572
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Entity Type | Individual
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Provider Name | NAGRUP THANDI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 310 MADISON AVE STE 302
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6967
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Country | US
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Telephone | 973-695-8033
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Fax |
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Provider Business Mailing Address
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Address Line | 27 N GASTON AVE
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City | RARITAN
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State | NJ
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Zip | 08869-1407
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Country | US
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Telephone | 908-635-3736
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ15208400
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License Number State | NJ
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