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General NPI Number Information
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NPI Number | 1982338489
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Entity Type | Individual
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Provider Name | NANTALE NSIBIRWA NP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 519-525 WEST STREET
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City | CAMDEN
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State | NJ
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Zip | 08103
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Country | US
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Telephone | 856-968-2320
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Fax | 856-968-2317
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Provider Business Mailing Address
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Address Line | 1369 FARRINGTON RD
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City | PHILADELPHIA
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State | PA
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Zip | 19151-2832
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Country | US
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Telephone | 267-307-7786
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR24108800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ01375200
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License Number State | NJ
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