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General NPI Number Information
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NPI Number | 1528967999
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Entity Type | Individual
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Provider Name | ELVIRA ALSHANOVNA MURATOV
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Gender | Female
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 698 MULLICA HILL RD STE 110
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City | MULLICA HILL
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State | NJ
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Zip | 08062-4453
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Country | US
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Telephone | 856-508-3550
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Fax | 856-221-4198
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Provider Business Mailing Address
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Address Line | 163 BRIDGETON PIKE
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City | MULLICA HILL
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State | NJ
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Zip | 08062-2669
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Country | US
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Telephone | 856-508-2783
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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 | 26NJ15507700
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License Number State | NJ
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