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General NPI Number Information
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NPI Number | 1043762313
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Entity Type | Organization
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Legal Business Name | RCL
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 2010 MORRIS AVE
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City | UNION
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State | NJ
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Zip | 07083-6014
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Country | US
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Telephone | 347-628-1024
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 273
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City | EDGEWATER
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State | NJ
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Zip | 07020-0273
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAMON LUTERO
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Credential |
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Telephone | 800-317-0179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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