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General NPI Number Information
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NPI Number | 1659114817
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Entity Type | Individual
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Provider Name | FRANCESCO PETRACCA NP
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Gender | Male
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 968 RIVER RD
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City | EDGEWATER
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State | NJ
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Zip | 07020-2237
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Country | US
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Telephone | 201-969-0994
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Fax | 201-969-2453
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Provider Business Mailing Address
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Address Line | 3 UNIVERSITY PLZ STE 205
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City | HACKENSACK
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State | NJ
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Zip | 07601-6208
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Country | US
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Telephone | 201-833-3599
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Fax | 201-227-6207
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 25NJ15370200
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License Number State | NJ
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