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General NPI Number Information
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NPI Number | 1023901469
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Entity Type | Individual
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Provider Name | MARISSA SINGH APN
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 527 S BLACK HORSE PIKE
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City | BLACKWOOD
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State | NJ
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Zip | 08012-2868
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Country | US
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Telephone | 856-302-5322
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Fax |
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Provider Business Mailing Address
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Address Line | 114 CAMDEN AVE
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City | VOORHEES
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State | NJ
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Zip | 08043-1310
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ15285400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ15285400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ15285400
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License Number State | NJ
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