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General NPI Number Information
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NPI Number | 1851842769
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Entity Type | Organization
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Legal Business Name | OCEAN HEALTH INITIATIVES INC
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 06/06/2018
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Provider Practice Location Address
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Address Line | 798 COUNTY ROAD 539 BUILDING #3
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City | LITTLE EGG HARBOR
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State | NJ
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Zip | 08087-4203
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Country | US
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Telephone | 732-363-6655
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Fax | 609-879-5695
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Provider Business Mailing Address
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Address Line | 101 2ND ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3324
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Country | US
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Telephone | 732-363-6655
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | THERESA BERGER
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Credential |
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Telephone | 732-363-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 28RS00754200
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License Number State | NJ
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