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General NPI Number Information
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NPI Number | 1407834674
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Entity Type | Organization
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Legal Business Name | SHORE CARDIOLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 408 BETHEL RD POINT COMMONS BLDG D
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2172
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Country | US
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Telephone | 609-926-9010
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Fax | 609-926-3392
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Provider Business Mailing Address
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Address Line | 408 BETHEL RD POINT COMMONS BLDG D
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2172
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Country | US
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Telephone | 609-926-9010
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Fax | 609-926-3392
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | JACOB L LEVIN
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Credential | MD
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Telephone | 609-926-9010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA04287700
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License Number State | NJ
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