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General NPI Number Information
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NPI Number | 1720930555
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Entity Type | Organization
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Legal Business Name | MISRA MEDICAL LLC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 8232 LOUISIANA BLVD NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-2429
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Country | US
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Telephone | 505-221-6342
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Fax | 505-212-4581
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Provider Business Mailing Address
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Address Line | 3801 CALLE PINO NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-4342
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Country | US
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Telephone | 505-221-6342
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Fax | 505-212-4581
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Authorized Official
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Title or Position | APN/OWNER
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Name | SHEILA MISRA
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Credential | APN
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Telephone | 505-221-6342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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