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General NPI Number Information
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NPI Number | 1538176870
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Entity Type | Individual
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Provider Name | CAROL M MCINTOSH M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 10 STOCKTON DR
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City | TOMS RIVER
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State | NJ
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Zip | 08755-6433
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Country | US
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Telephone | 732-363-6655
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 548
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City | TOMS RIVER
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State | NJ
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Zip | 08754-0548
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Country | US
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Telephone | 347-218-1051
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Fax | 866-246-3761
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101248680
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA12241500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 183810
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License Number State | NY
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