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General NPI Number Information
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NPI Number | 1669592416
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Entity Type | Organization
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Legal Business Name | OCEAN MEDICAL CONSULTANTS INC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 610 NEW YORK BLVD
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City | SEA GIRT
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State | NJ
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Zip | 08750-1421
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Country | US
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Telephone | 732-682-1701
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Fax |
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Provider Business Mailing Address
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Address Line | 1540 STATE ROUTE 138 SUITYE 301
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City | WALL
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State | NJ
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Zip | 07719-3763
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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 | PRESIDENT
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Name | MICHELLE MC ELDUFF
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Credential |
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Telephone | 732-682-1701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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