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General NPI Number Information
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NPI Number | 1861093221
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Entity Type | Individual
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Provider Name | GIACOMINA CARMELA SOREZZA FNP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 193 ROUTE 9 STE 2A
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City | MANALAPAN
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State | NJ
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Zip | 07726-3016
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Country | US
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Telephone | 732-558-0116
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Fax |
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Provider Business Mailing Address
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Address Line | 267 BETSY ROSS DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-4223
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Country | US
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Telephone | 732-558-0116
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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 | 345765
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License Number State | NY
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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 | 26NJ01127100
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License Number State | NJ
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