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General NPI Number Information
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NPI Number | 1780673400
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Entity Type | Individual
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Provider Name | GABRIELLE NITTI O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/15/2005
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2080 N BLACK HORSE PIKE
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-9128
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Country | US
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Telephone | 568-200-3744
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Fax | 856-513-2911
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Provider Business Mailing Address
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Address Line | 601 N BLACK HORSE PIKE APT J13
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-1063
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Country | US
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Telephone | 201-394-8917
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Fax | 856-513-2911
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OA 005137
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License Number State | NJ
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