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General NPI Number Information
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NPI Number | 1053493627
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Entity Type | Organization
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Legal Business Name | EYEXAM GROUP - WATCHUNG PA
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 1688 ROUTE 22 E
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City | WATCHUNG
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State | NJ
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Zip | 07069-6508
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Country | US
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Telephone | 908-322-5020
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Fax | 908-322-1938
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Provider Business Mailing Address
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Address Line | 1688 ROUTE 22 E
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City | WATCHUNG
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State | NJ
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Zip | 07069-6508
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Country | US
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Telephone | 908-322-5020
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Fax | 908-322-1938
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC ROBINSON
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Credential | O.D.
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Telephone | 908-322-5020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00411000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 27TO00020200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 27TO00020300
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00411100
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License Number State | NJ
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