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General NPI Number Information
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NPI Number | 1922973320
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Entity Type | Individual
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Provider Name | NICOLE ELIZABETH ZOT PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 185 NJ-36 BUILDING C
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764
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Country | US
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Telephone | 732-923-4534
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Fax | 732-263-5213
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Provider Business Mailing Address
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Address Line | 185 NJ-36 BUILDING C
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764
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Country | US
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Telephone | 732-923-4534
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Fax | 732-263-5213
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00946100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 034185-01
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License Number State | NY
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