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General NPI Number Information
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NPI Number | 1700124195
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Entity Type | Individual
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Provider Name | BRIDGET I NKATTA DNP FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 08/27/2023
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Provider Practice Location Address
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Address Line | 811 WASHINGTON RD STE 1B
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City | PARLIN
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State | NJ
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Zip | 08859-1078
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Country | US
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Telephone | 848-444-1962
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Fax |
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Provider Business Mailing Address
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Address Line | 26 FERN CT
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City | SAYREVILLE
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State | NJ
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Zip | 08872-2103
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Country | US
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Telephone | 732-257-2405
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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 | 26NJ00401100
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License Number State | NJ
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