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General NPI Number Information
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NPI Number | 1093293631
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Entity Type | Individual
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Provider Name | MARYAM MUNIR MD
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Gender | Female
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 100 WELLNESS WAY
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City | MILFORD
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State | DE
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Zip | 19963-4364
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Country | US
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Telephone | 347-325-0762
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Fax |
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Provider Business Mailing Address
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Address Line | 17071 WINDWARD BLVD UNIT 303
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City | MILFORD
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State | DE
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Zip | 19963-5019
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Country | US
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Telephone | 347-325-0762
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29N00000X
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License Number State | NJ
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