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General NPI Number Information
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NPI Number | 1750264339
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Entity Type | Individual
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Provider Name | YANNICK ZEBAZE NP
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Gender | Male
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 296 MAIN ST
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City | WEST ORANGE
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State | NJ
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Zip | 07052-5625
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Country | US
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Telephone | 862-456-8831
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Fax | 302-497-8427
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Provider Business Mailing Address
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Address Line | 884 WALNUT PL
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City | LAKE HOPATCONG
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State | NJ
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Zip | 07849-2464
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Country | US
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Telephone | 973-444-6266
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Fax | 302-497-8427
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15367100
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License Number State | NJ
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