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General NPI Number Information
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NPI Number | 1851587117
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Entity Type | Individual
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Provider Name | LISANIA IRIS MILLI PHD, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 48 BI STATE PLZ # 506
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City | OLD TAPPAN
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State | NJ
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Zip | 07675-7003
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Country | US
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Telephone | 201-903-7048
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Fax | 844-274-3413
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Provider Business Mailing Address
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Address Line | 48 BI STATE PLZ # 506
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City | OLD TAPPAN
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State | NJ
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Zip | 07675-7003
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Country | US
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Telephone | 201-903-7048
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Fax | 844-274-3413
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | F420654-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 26NJ00090100
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License Number State | NJ
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