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General NPI Number Information
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NPI Number | 1790722163
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Entity Type | Organization
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Legal Business Name | FAMILY PRACTICE ASSOCIATES OF CAPE MAY COUNTY, PA
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 210 S SHORE RD MARMORA MEDICAL COMMONS, SUITE 100
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City | MARMORA
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State | NJ
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Zip | 08223-1200
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Country | US
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Telephone | 609-390-0882
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Fax |
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Provider Business Mailing Address
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Address Line | 210 S SHORE RD MARMORA MEDICAL COMMONS, SUITE 100
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City | MARMORA
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State | NJ
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Zip | 08223-1200
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Country | US
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Telephone | 609-390-0882
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SANDEE K SHALLER
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Credential | DO
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Telephone | 609-390-0882
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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 | 25MB05175600
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License Number State | NJ
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