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General NPI Number Information
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NPI Number | 1902944416
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Entity Type | Organization
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Legal Business Name | SHORE HEALTH GROUP, PC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 3200 SUNSET AVE SUITE 208
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City | OCEAN
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State | NJ
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Zip | 07712-4567
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Country | US
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Telephone | 732-775-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 1659 ROUTE 88 SUITE 2B
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City | BRICK
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State | NJ
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Zip | 08724-3011
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Country | US
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Telephone | 732-458-1211
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Fax | 732-836-3141
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GAGAN D BERI
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Credential | MD
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Telephone | 732-458-1211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00217500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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