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General NPI Number Information
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NPI Number | 1942077375
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Entity Type | Individual
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Provider Name | MIRIAM BITTERMAN
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Gender | Female
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Dates
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Enumeration Date | 12/06/2023
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 500 RIVER AVE STE 245
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4738
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Country | US
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Telephone | 732-901-8540
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Fax |
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Provider Business Mailing Address
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Address Line | 5 KING DAVID DR
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4634
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ14969700
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License Number State | NJ
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