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General NPI Number Information
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NPI Number | 1962808519
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Entity Type | Organization
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Legal Business Name | SHORE SPECIALTY CONSULTANTS
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Dates
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Enumeration Date | 11/10/2014
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 649 SHORE RD
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2449
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Country | US
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Telephone | 609-653-3500
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Fax | 609-926-4311
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Provider Business Mailing Address
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Address Line | 649 SHORE RD
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2449
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Country | US
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Telephone | 609-365-6239
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Fax | 609-365-5305
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ULICES PEREZ FELIZ
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Credential | MD
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Telephone | 609-965-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | NJ
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