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General NPI Number Information
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NPI Number | 1952119943
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Entity Type | Individual
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Provider Name | NICHOLAS ANGELO COLANGELO FNP-C
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Gender | Male
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Dates
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Enumeration Date | 12/21/2024
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 280 HENRY ST
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City | NEW YORK
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State | NY
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Zip | 10002-5808
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Country | US
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Telephone | 212-227-8401
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Fax |
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Provider Business Mailing Address
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Address Line | 135 MONTGOMERY ST APT 12E
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City | JERSEY CITY
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State | NJ
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Zip | 07302-4627
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Country | US
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Telephone | 617-281-1099
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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 | 95026580
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License Number State | CA
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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 | 26NJ15199000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 355500
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License Number State | NY
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