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General NPI Number Information
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NPI Number | 1598109910
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Entity Type | Individual
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Provider Name | FABIOLA CADET ST LOUIS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 462 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 212-562-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 736 NORTHFIELD AVE
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City | WEST ORANGE
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State | NJ
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Zip | 07052-1145
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Country | US
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Telephone | 347-879-4029
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 31363-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 313633-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 356228
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11037383
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 738900
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License Number State | NY
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