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General NPI Number Information
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NPI Number | 1285843581
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Entity Type | Organization
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Legal Business Name | MONMOUTH COUNTY REGIONAL HEALTH COMMISSION #1
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 1540 WEST PARK AVE SUITE 1
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City | OCEAN TWP
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State | NJ
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Zip | 07712-3156
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Country | US
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Telephone | 732-493-9520
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Fax | 732-493-9525
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Provider Business Mailing Address
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Address Line | 1540 WEST PARK AVE SUITE 1
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City | OCEAN TWP
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State | NJ
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Zip | 07712-3156
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Country | US
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Telephone | 732-493-9520
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Fax | 732-493-9525
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MRS. PEGGY T HUIE
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Credential |
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Telephone | 732-493-9520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | C56607
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License Number State | NJ
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