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General NPI Number Information
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NPI Number | 1386670016
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Entity Type | Organization
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Legal Business Name | ARC OCEAN COUNTY INC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 101 2ND ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3324
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Country | US
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Telephone | 732-886-4955
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Fax | 732-350-4840
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Provider Business Mailing Address
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Address Line | 1100 ROUTE 70
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City | WHITING
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State | NJ
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Zip | 08759-1003
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Country | US
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Telephone | 732-886-4955
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Fax | 732-350-4840
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Authorized Official
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Title or Position | DIRECTOR HEALTH SERVICES
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Name | CORINNE ROCK MALMBERG
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Credential | APN-C
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Telephone | 732-886-4955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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