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General NPI Number Information
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NPI Number | 1043306574
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Entity Type | Organization
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Legal Business Name | OCEAN HEALTH INITIATIVES INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 101 2ND ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3324
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Country | US
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Telephone | 732-363-6655
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Fax | 732-363-6656
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Provider Business Mailing Address
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Address Line | 3600 ROUTE 66 STE 400
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City | NEPTUNE
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State | NJ
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Zip | 07753-2645
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Country | US
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Telephone | 732-363-6655
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | THERESA BERGER
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Credential |
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Telephone | 732-719-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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