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General NPI Number Information
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NPI Number | 1790458628
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Entity Type | Organization
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Legal Business Name | JERSEY SHORE PELVIC HEALTH
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 848 F1 WEST BAY AVE
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City | BARNEGAT
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State | NJ
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Zip | 08005-2126
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Country | US
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Telephone | 609-451-0805
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Fax | 609-451-0833
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Provider Business Mailing Address
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Address Line | 44 MUTINEER AVE
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City | BARNEGAT
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State | NJ
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Zip | 08005-1318
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Country | US
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Telephone | 908-477-5146
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEXANDRA MORGAN
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Credential | PT, DPT
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Telephone | 908-477-5146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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