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General NPI Number Information
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NPI Number | 1073194015
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Entity Type | Organization
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Legal Business Name | INSIGHT ICARE OPTOMETRY PC
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 30 KINGSLAND RD
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City | CLIFTON
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State | NJ
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Zip | 07014-1904
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Country | US
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Telephone | 347-819-5152
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Fax |
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Provider Business Mailing Address
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Address Line | 18 KINGS PL
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City | BROOKLYN
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State | NY
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Zip | 11223-2742
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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 / OPTOMETRIST
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Name | DR. JENNY HE
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Credential | OD
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Telephone | 347-819-5152
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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 |
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License Number State |
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