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General NPI Number Information
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NPI Number | 1972402543
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Entity Type | Individual
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Provider Name | MELISSA PAUL
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Gender |
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 77 SCHANCK RD STE B-3
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City | FREEHOLD
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State | NJ
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Zip | 07728-2989
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Country | US
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Telephone | 932-952-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 16 FIDDLERS ELBOW CT
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City | HOWELL
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State | NJ
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Zip | 07731-5024
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Country | US
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Telephone |
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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 | 26NJ15704300
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License Number State | NJ
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