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General NPI Number Information
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NPI Number | 1861527673
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Entity Type | Organization
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Legal Business Name | JERSEY SHORE UNIVERSITY HOSPITAL
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 402 STATE ROUTE 35 N
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City | NEPTUNE
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State | NJ
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Zip | 07753-4604
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Country | US
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Telephone | 732-869-2788
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Fax |
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Provider Business Mailing Address
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Address Line | 103 10TH AVE APT 5
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City | BELMAR
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State | NJ
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Zip | 07719-2362
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Country | US
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Telephone | 732-859-9639
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR
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Name | PETER SILVA
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Credential | LCSW
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Telephone | 732-869-2788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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