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General NPI Number Information
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NPI Number | 1669359550
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Entity Type | Organization
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Legal Business Name | OCEAN COUNTY FOOT & ANKLE SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 2399 HIGHWAY 34 BLDG A6
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City | MANASQUAN
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State | NJ
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Zip | 08736-1500
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Country | US
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Telephone | 732-528-8223
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Fax | 732-528-7057
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Provider Business Mailing Address
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Address Line | PO BOX 825159
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5159
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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 | OWNER
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Name | GENE MIRKIN
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Credential | DPM
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Telephone | 410-266-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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