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General NPI Number Information
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NPI Number | 1952236952
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Entity Type | Organization
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Legal Business Name | TOLTA TELEHEALTH LLC
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Dates
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Enumeration Date | 06/13/2026
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Last Update Date | 06/13/2026
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Provider Practice Location Address
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Address Line | 971 US HIGHWAY 202 N STE N
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3757
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Country | US
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Telephone | 272-394-5941
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Fax | 272-394-5941
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Provider Business Mailing Address
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Address Line | 971 US HIGHWAY 202 N STE N
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3757
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Country | US
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Telephone | 272-394-5941
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Fax | 272-394-5941
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | AGNES WANE-SLORY
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Credential | DNP, FNP-BC
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Telephone | 272-394-5941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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