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General NPI Number Information
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NPI Number | 1548191935
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Entity Type | Individual
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Provider Name | NICHOLE HUBER MSN, FNP-C, PCCN
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Gender | Female
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Dates
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Enumeration Date | 05/26/2026
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 425 JACK MARTIN BLVD
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City | BRICK
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State | NJ
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Zip | 08724-7732
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Country | US
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Telephone | 732-840-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 14 RAY DR
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7620
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Country | US
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Telephone | 732-836-4438
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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 | 26NJ15094600
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License Number State | NJ
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