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General NPI Number Information
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NPI Number | 1104866953
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Entity Type | Organization
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Legal Business Name | HORIZON EYE CARE PA
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 9701 VENTOR AVENUE
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City | MARGATE
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State | NJ
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Zip | 08402
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Country | US
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Telephone | 609-822-4242
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Fax | 609-822-3211
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Provider Business Mailing Address
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Address Line | 9701 VENTOR AVENUE
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City | MARGATE
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State | NJ
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Zip | 08402
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Country | US
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Telephone | 609-822-4242
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Fax | 609-822-3211
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. SUZANNE D BRUNO
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Credential |
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Telephone | 609-822-4242
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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 | MA34255
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License Number State | NJ
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