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General NPI Number Information
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NPI Number | 1659225415
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Entity Type | Individual
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Provider Name | MICHAEL HENRY MATHIES MSN, APN, ACNPC-AG
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Gender | Male
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 1945 NJ-33
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City | NEPTUNE CITY
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-775-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 335 23RD AVE
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City | BRICK
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State | NJ
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Zip | 08724-1668
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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 |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ15552600
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License Number State | NJ
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