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General NPI Number Information
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NPI Number | 1114838984
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Entity Type | Organization
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Legal Business Name | WHARTON EYECARE LLC
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Dates
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Enumeration Date | 09/12/2026
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Last Update Date | 09/12/2026
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Provider Practice Location Address
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Address Line | 315 STATE ROUTE 15 N
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City | WHARTON
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State | NJ
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Zip | 07885-1222
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Country | US
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Telephone | 847-971-5717
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Fax |
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Provider Business Mailing Address
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Address Line | 7 SER DEL DR
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City | PARSIPPANY
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State | NJ
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Zip | 07054-2235
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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 | MEMBER/MANAGER
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Name | PRAKSHA BUTALA
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Credential | OD
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Telephone | 847-971-5717
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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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