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General NPI Number Information
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NPI Number | 1093902215
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Entity Type | Individual
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Provider Name | MICHELE L GRUNER APN
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Gender | Female
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 7600 RIVER RD
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-6217
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Country | US
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Telephone | 201-694-5810
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Fax | 201-854-5796
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Provider Business Mailing Address
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Address Line | 100 ETON ROW APT 401
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City | WEEHAWKEN
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State | NJ
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Zip | 07086-5401
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Country | US
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Telephone | 201-694-5810
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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 | 26NJ00143600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00143600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26RN10599500
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License Number State | NJ
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