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General NPI Number Information
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NPI Number | 1659650737
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Entity Type | Individual
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Provider Name | ESTHER GENACK P.A.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2011
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 530 LAKEHURST RD STE 101
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City | TOMS RIVER
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State | NJ
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Zip | 08755-8063
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Country | US
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Telephone | 732-349-8454
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Fax | 732-341-0259
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Provider Business Mailing Address
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Address Line | 655 SHREWSBURY AVE SUITE 202
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4179
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Country | US
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Telephone | 732-345-1180
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Fax | 732-530-4476
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00262000
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License Number State | NJ
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