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General NPI Number Information
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NPI Number | 1184573651
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Entity Type | Individual
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Provider Name | MARIKE VAN NIEKERK LP
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1 S ROUTE 9W
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City | HAVERSTRAW
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State | NY
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Zip | 10927-1714
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Country | US
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Telephone | 845-429-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 978 ORADELL AVE
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City | ORADELL
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State | NJ
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Zip | 07649-1954
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Country | US
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Telephone | 860-234-7309
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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 | P140663
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License Number State | NY
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