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General NPI Number Information
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NPI Number | 1336576685
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Entity Type | Individual
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Provider Name | MIRIAM ROSENBLUM FNP
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Gender | Female
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 1695 ROUTE 88 STE A
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City | BRICK
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State | NJ
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Zip | 08724-3029
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Country | US
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Telephone | 732-202-7458
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Fax |
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Provider Business Mailing Address
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Address Line | 1695 ROUTE 88
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City | BRICK
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State | NJ
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Zip | 08724-3029
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Country | US
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Telephone | 732-202-7458
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR24433100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ14938700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 349561
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 723556
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License Number State | NY
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