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General NPI Number Information
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NPI Number | 1962211912
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Entity Type | Individual
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Provider Name | CHRISTIAN MERISCAR DNP, BA, PMHNP
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Gender | Male
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Dates
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Enumeration Date | 01/04/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 615 HOPE RD
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City | EATONTOWN
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State | NJ
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Zip | 07724-1277
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Country | US
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Telephone | 732-724-1234
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Fax | 732-532-0801
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Provider Business Mailing Address
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Address Line | 80 DOUGLAS AVE
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City | SOMERSET
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State | NJ
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Zip | 08873-3229
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Country | US
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Telephone |
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Fax | 732-532-0801
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15237500
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License Number State | NJ
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