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General NPI Number Information
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NPI Number | 1659823508
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Entity Type | Organization
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Legal Business Name | MERCER-OCEAN PODIATRY
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 2103 WHITEHORSE MERCERVILLE RD SUITE 4
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City | HAMILTON
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State | NJ
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Zip | 08619-2641
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Country | US
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Telephone | 609-585-3200
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Fax | 609-586-3186
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Provider Business Mailing Address
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Address Line | 202 ROUTE 37 W STE 4
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City | TOMS RIVER
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State | NJ
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Zip | 08755-8055
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Country | US
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Telephone | 732-688-8370
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Fax | 732-557-5001
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. FRANK JOHN KILLIAN
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Credential | DPM
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Telephone | 732-557-4266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00240900
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License Number State | NJ
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