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General NPI Number Information
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NPI Number | 1700228087
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Entity Type | Individual
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Provider Name | ESTHER TEREBELO PA
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Gender | Female
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Dates
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Enumeration Date | 07/26/2013
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 600 RIVER AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5237
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Country | US
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Telephone | 732-806-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 210 BENT HOOK RD
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City | TOMS RIVER
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State | NJ
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Zip | 08755-1033
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Country | US
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Telephone | 347-504-5622
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00362600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 016747
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License Number State | NY
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