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General NPI Number Information
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NPI Number | 1932768330
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Entity Type | Individual
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Provider Name | LAURIE ANN CUCCO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 718 TEANECK RD
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City | TEANECK
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State | NJ
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Zip | 07666-4245
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Country | US
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Telephone | 201-227-6200
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Fax | 201-227-6209
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Provider Business Mailing Address
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Address Line | 718 TEANECK RD
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City | TEANECK
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State | NJ
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Zip | 07666-4245
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Country | US
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Telephone | 12-276-2002
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Fax | 201-227-6209
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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 | 26NJ00882700
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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 | 343911
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License Number State | NY
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