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General NPI Number Information
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NPI Number | 1124970264
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Entity Type | Organization
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Legal Business Name | OPHTHALMIC SURGEONS LLC
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 48 N BROADWAY
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City | PENNSVILLE
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State | NJ
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Zip | 08070-1754
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Country | US
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Telephone | 856-678-4800
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Fax | 856-678-3630
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Provider Business Mailing Address
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Address Line | 48 N BROADWAY
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City | PENNSVILLE
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State | NJ
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Zip | 08070-1754
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Country | US
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Telephone | 856-678-4800
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Fax | 856-678-3630
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. WENDY MARANDOLA
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Credential |
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Telephone | 856-678-4800
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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 |
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License Number State |
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