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General NPI Number Information
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NPI Number | 1366654428
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Entity Type | Organization
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Legal Business Name | EAST COAST ORAL AND MAXILLOFACIAL SURGEONS,PA
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 211 S MAIN ST SUITE 201
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2264
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Country | US
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Telephone | 609-465-9600
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Fax | 609-465-0336
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Provider Business Mailing Address
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Address Line | 211 S MAIN ST SUITE 201
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2264
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Country | US
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Telephone | 609-465-9600
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Fax | 609-465-0336
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Authorized Official
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Title or Position | ORAL SURGEON/OWNER
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Name | DR. MICHAEL ROBERT TOOHEY
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Credential | DMD
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Telephone | 609-465-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 017511
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License Number State | NJ
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