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General NPI Number Information
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NPI Number | 1437627023
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Entity Type | Organization
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Legal Business Name | POINT PEDIATRICS
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 800 ROUTE 88 STE 3
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City | POINT PLEASANT BORO
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State | NJ
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Zip | 08742-4085
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Country | US
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Telephone | 732-714-1414
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Fax | 732-714-9664
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Provider Business Mailing Address
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Address Line | 1854 RIVIERA PKWY
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City | POINT PLEASANT BORO
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State | NJ
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Zip | 08742-5246
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Country | US
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Telephone | 732-908-9888
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JESSICA RACHEL WOOD
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Credential | DO
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Telephone | 732-908-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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