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General NPI Number Information
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NPI Number | 1982803177
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Entity Type | Organization
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Legal Business Name | EAST COAST WOMAN'S HEALTH & PELVIC SURGERY LLC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 890 W BAY AVE SUITE F
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City | BARNEGAT
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State | NJ
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Zip | 08005-2150
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Country | US
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Telephone | 609-698-8880
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Fax | 609-698-8881
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Provider Business Mailing Address
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Address Line | 1 ANISE CT
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-5610
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Country | US
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Telephone | 609-661-4071
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Fax | 609-978-8570
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH MICHAEL MILLER
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Credential | DO
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Telephone | 609-661-4071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 25MB07112600
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License Number State | NJ
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