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General NPI Number Information
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NPI Number | 1780187096
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Entity Type | Individual
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Provider Name | ROBERT PATRICK CARROLL II FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 70 S ORANGE AVE STE 235
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4915
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Country | US
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Telephone | 973-607-4911
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Fax |
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Provider Business Mailing Address
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Address Line | 70 S ORANGE AVE STE 235
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4915
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Country | US
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Telephone | 973-607-4911
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11026128
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 351807
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ14999600
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License Number State | NJ
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