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General NPI Number Information
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NPI Number | 1063459931
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Entity Type | Organization
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Legal Business Name | EYE PHYSICIANS PC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 1140 WHITE HORSE RD SUITE 1
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City | VOORHEES
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State | NJ
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Zip | 08043-2106
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Country | US
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Telephone | 856-784-3366
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Fax | 856-784-4388
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Provider Business Mailing Address
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Address Line | 1140 WHITE HORSE RD SUITE 1
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City | VOORHEES
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State | NJ
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Zip | 08043-2106
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Country | US
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Telephone | 856-784-3366
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Fax | 856-784-4388
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN D DUGAN JR.
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Credential | M.D.
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Telephone | 856-784-3366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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