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General NPI Number Information
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NPI Number | 1073623229
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Entity Type | Individual
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Provider Name | DIANE RENE BOESE O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 301 MOUNT HOPE AVE SUITE 2001
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City | ROCKAWAY
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State | NJ
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Zip | 07866-2130
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Country | US
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Telephone | 973-366-9622
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Fax |
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Provider Business Mailing Address
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Address Line | 776 RAVINE RD
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City | PLAINFIELD
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State | NJ
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Zip | 07062-2038
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Country | US
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Telephone | 908-757-5697
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 27TO00128800
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License Number State | NJ
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