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General NPI Number Information
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NPI Number | 1386507168
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Entity Type | Individual
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Provider Name | BISMA MUNIR FNP
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 26 MAIN ST
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City | EDISON
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State | NJ
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Zip | 08837-3418
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Country | US
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Telephone | 732-582-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 17 DEL RAY RD
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City | EGG HARBOR TOWNSHIP
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State | NJ
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Zip | 08234-3107
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ15463800
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License Number State | NJ
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