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General NPI Number Information
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NPI Number | 1659178457
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Entity Type | Individual
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Provider Name | NICOLE MICHELE SMITH APN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 450 CHARLESTOWN RD
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City | HAMPTON
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State | NJ
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Zip | 08827-2535
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Country | US
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Telephone | 908-537-1042
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 426
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City | BLOOMSBURY
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State | NJ
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Zip | 08804-0426
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Country | US
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Telephone | 908-455-0677
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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 | 26NJ15284600
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License Number State | NJ
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