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General NPI Number Information
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NPI Number | 1104068675
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Entity Type | Organization
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Legal Business Name | YUNIC VISION CARE LLC
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Dates
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Enumeration Date | 03/31/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 31 MILBURN DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-2256
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Country | US
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Telephone | 732-503-0694
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Fax |
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Provider Business Mailing Address
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Address Line | 465 ROUTE 70
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City | BRICK
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State | NJ
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Zip | 08723-4049
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Country | US
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Telephone | 732-262-6313
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Fax | 732-262-6314
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Authorized Official
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Title or Position | OPTOMETRIC PHYSICIAN
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Name | DR. KERLYNE E. GUERRIER
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Credential | O.D
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Telephone | 732-262-6313
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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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