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General NPI Number Information
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NPI Number | 1407950140
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Entity Type | Organization
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Legal Business Name | JERSEY SHORE UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1945 STATE ROUTE 33
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City | NEPTUNE
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State | NJ
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Zip | 07753-4859
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Country | US
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Telephone | 732-776-4081
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Fax | 732-776-2329
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Provider Business Mailing Address
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Address Line | 8 WILLOW AVE
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City | HOWELL
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State | NJ
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Zip | 07731-2507
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Country | US
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Telephone | 732-776-4081
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Fax |
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Authorized Official
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Title or Position | ASST NS MGR
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Name | MS. CATHY L METTA
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Credential | RNC
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Telephone | 732-776-4081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 26NO05915400
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License Number State | NJ
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