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General NPI Number Information
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NPI Number | 1124198023
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Entity Type | Organization
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Legal Business Name | MICAH M MAY MD INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1100 STATE HIGHWAY #70
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City | WHITING
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State | NJ
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Zip | 08759
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Country | US
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Telephone | 732-350-0070
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Fax | 732-350-4439
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Provider Business Mailing Address
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Address Line | 732 S LAKE DR
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3031
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Country | US
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Telephone | 732-886-8130
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Fax | 732-886-8130
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MICAH M MAY
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Credential | M.D.
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Telephone | 732-350-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA69026
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License Number State | NJ
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