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General NPI Number Information
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NPI Number | 1750544078
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Entity Type | Individual
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Provider Name | NATHALIE SOFIA LOPRESTI PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 194 HIGHWAY 35 SOUTH
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City | RED BANK
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State | NJ
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Zip | 07701
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Country | US
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Telephone | 732-483-1800
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Fax | 732-483-1622
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Provider Business Mailing Address
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Address Line | 194 HIGHWAY 35 SOUTH
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City | RED BANK
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State | NJ
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Zip | 07701
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Country | US
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Telephone | 718-226-4324
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Fax | 718-226-1039
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 013279
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License Number State | NY
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