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General NPI Number Information
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NPI Number | 1083974026
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Entity Type | Organization
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Legal Business Name | CIPPARONE EYE ASSOCIATES, LLC
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 2000 CLEMENTS BRIDGE RD
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City | DEPTFORD
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State | NJ
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Zip | 08096-2016
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Country | US
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Telephone | 856-906-6079
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Fax |
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Provider Business Mailing Address
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Address Line | 111 PREAKNESS DR
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City | MULLICA HILL
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State | NJ
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Zip | 08062-3603
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Country | US
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Telephone | 856-906-6079
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. STEVEN ANTHONY CIPPARONE
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Credential |
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Telephone | 856-906-6079
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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 | OA005489
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License Number State | NJ
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