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General NPI Number Information
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NPI Number | 1689296097
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Entity Type | Individual
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Provider Name | JASON MICHAEL CHRISTOPHER DO
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Gender | Male
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | JERSEY SHORE UNIVERSITY MEDICAL CENTER 1945 ROUTE 33
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City | NEPTUNE
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-775-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 1945 ROUTE 33
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City | NEPTUNE
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State | NJ
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Zip | 07753-2506
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 25MB11952700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MB11952700
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License Number State | NJ
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