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General NPI Number Information
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NPI Number | 1639400096
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Entity Type | Organization
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Legal Business Name | JERSEY SHORE AMBULATORY ASSOCIATES LLC
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 1270 ROUTE 35
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2014
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Country | US
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Telephone | 908-653-9399
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 ROUTE 35
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2014
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MBR
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Name | DEAN CINDRARIO
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Credential | MD
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Telephone | 908-653-9399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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