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General NPI Number Information
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NPI Number | 1144327362
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Entity Type | Organization
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Legal Business Name | CHILDREN'S EYE CARE CENTER OF NJ
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 495 N 13TH ST
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City | NEWARK
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State | NJ
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Zip | 07107-1317
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Country | US
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Telephone | 973-485-2020
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Fax | 973-497-5674
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Provider Business Mailing Address
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Address Line | 495 N 13TH ST
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City | NEWARK
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State | NJ
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Zip | 07107-1317
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Country | US
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Telephone | 973-485-2020
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Fax | 973-497-5674
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ANTHONY ROBERT CAPUTO
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Credential | MD
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Telephone | 973-485-3353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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