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NPI 1861057671

NPI 1861057671 : SHEALINNA GE M.D. : MORRISTOWN, NJ

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General NPI Number Information
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    NPI Number           |    1861057671
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    Entity Type          |    Individual 
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    Provider Name        |    SHEALINNA GE M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/07/2019
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    Last Update Date     |    06/19/2024
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Provider Practice Location Address
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    Address Line         |    182 SOUTH ST STE 1 
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    City                 |    MORRISTOWN
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    State                |    NJ
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    Zip                  |    07960-5350
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    Country              |    US
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    Telephone            |    973-267-0300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    SBCH, MEDICAL EDUCATION 400 W PUEBLO STREET
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    City                 |    SANTA BARBARA
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    State                |    CA
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    Zip                  |    93015
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    Country              |    US
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    Telephone            |    805-569-7315
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    Fax                  |    805-569-8358
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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        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    D0097946
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    License Number State |    MD
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