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General NPI Number Information
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NPI Number | 1548536246
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Entity Type | Individual
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Provider Name | NICOLE JONES PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1450 ALMONESSON RD STE 275
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City | DEPTFORD
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State | NJ
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Zip | 08096-5243
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Country | US
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Telephone | 856-223-0965
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Fax | 856-223-1044
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Provider Business Mailing Address
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Address Line | 1450 ALMONESSON RD STE 275
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City | DEPTFORD
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State | NJ
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Zip | 08096-5243
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Country | US
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Telephone | 856-223-0965
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Fax | 856-223-1044
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00280300
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License Number State | NJ
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