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General NPI Number Information
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NPI Number | 1225716863
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Entity Type | Organization
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Legal Business Name | OCEAN ENDOCRINE SPECIALISTS LLC
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 1255 ROUTE 70 STE 31S
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5973
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Country | US
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Telephone | 732-908-2200
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Fax | 732-908-8111
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Provider Business Mailing Address
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Address Line | 1255 ROUTE 70 STE 31S
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5973
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Country | US
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Telephone | 732-908-2200
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Fax | 732-908-8111
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Authorized Official
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Title or Position | OWNER
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Name | RONALD VILLANUEVA
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Credential | MD
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Telephone | 732-908-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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