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General NPI Number Information
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NPI Number | 1669263836
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Entity Type | Organization
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Legal Business Name | BLUE OCEAN CARE
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1 BETHANY RD STE 30B
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City | HAZLET
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State | NJ
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Zip | 07730-1663
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Country | US
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Telephone | 908-208-6264
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Fax |
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Provider Business Mailing Address
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Address Line | 50 OSPREY DR
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3594
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Country | US
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Telephone | 908-208-6264
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | NANCY ELLITHY
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Credential |
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Telephone | 908-208-6264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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