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General NPI Number Information
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NPI Number | 1679859102
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Entity Type | Organization
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Legal Business Name | HEALING OCEANS FAMILY WELLNESS CENTER
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Dates
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Enumeration Date | 10/28/2011
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Last Update Date | 10/28/2011
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Provider Practice Location Address
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Address Line | 11 SCHALKS CROSSING RD # 640
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1617
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Country | US
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Telephone | 609-474-4325
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Fax | 609-228-7464
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Provider Business Mailing Address
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Address Line | PO BOX 80
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City | ROCKY HILL
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State | NJ
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Zip | 08553-0080
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Country | US
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Telephone | 609-474-4325
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Fax | 609-228-7464
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DEBORAH GINSBURG
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Credential | MD
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Telephone | 609-474-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MAO62995
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License Number State | NJ
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