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General NPI Number Information
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NPI Number | 1649863028
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Entity Type | Individual
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Provider Name | MRS. MYRIAM N PAREDES
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Gender | Female
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 03/16/2025
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Provider Practice Location Address
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Address Line | 408 NEW BRUNSWICK AVE
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City | FORDS
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State | NJ
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Zip | 08863-2110
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Country | US
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Telephone | 732-688-8751
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Fax |
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Provider Business Mailing Address
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Address Line | 14 EXETER ST
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-2202
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Country | US
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Telephone | 732-688-8751
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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 | 26NJ01092100
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License Number State | NJ
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