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General NPI Number Information
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NPI Number | 1215825773
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Entity Type | Organization
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Legal Business Name | OCEAN WOUNDS PA PLLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1130 W CHESTER PIKE
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City | WEST CHESTER
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State | PA
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Zip | 19382-5005
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Country | US
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Telephone | 732-716-2362
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Fax |
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Provider Business Mailing Address
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Address Line | 144 COLES WAY
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4885
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Country | US
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Telephone | 845-901-7289
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELYSSE LERNER
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Credential | APN CWS
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Telephone | 845-901-7289
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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 |
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License Number State |
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