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General NPI Number Information
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NPI Number | 1992438543
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Entity Type | Individual
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Provider Name | SAMMANTHA CACIOPPO-CRUZ PA
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Gender | Female
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 910 SYLVAN AVE STE 100
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3308
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Country | US
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Telephone | 201-569-2770
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Fax |
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Provider Business Mailing Address
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Address Line | 55 MEADOWS ST
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City | PEARL RIVER
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State | NY
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Zip | 10965-1911
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00921400
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License Number State | NJ
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