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General NPI Number Information
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NPI Number | 1639713902
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Entity Type | Individual
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Provider Name | KAITLIN ASHLEY ZOMPANTI NP
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Gender | Female
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2137 HWY 35 # 160
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City | HOLMDEL
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State | NJ
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Zip | 07733-1083
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Country | US
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Telephone | 848-278-7366
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BARBARY LN
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City | COLTS NECK
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State | NJ
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Zip | 07722-1519
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Country | US
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Telephone | 732-947-2355
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ14946700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2289441
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2289441
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License Number State | MA
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