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General NPI Number Information
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NPI Number | 1891459509
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Entity Type | Individual
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Provider Name | NICOLE ELIZABETH PENDLETON AU.D
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Gender | Female
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 240 EASTON AVE
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1723
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Country | US
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Telephone | 732-937-6026
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Fax | 732-846-8911
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Provider Business Mailing Address
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Address Line | 333 RIVER ST APT 953
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City | HOBOKEN
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State | NJ
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Zip | 07030-5869
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Country | US
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Telephone | 508-436-3723
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 1539544
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 41YA00115400
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License Number State | NJ
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