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General NPI Number Information
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NPI Number | 1154088615
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Entity Type | Individual
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Provider Name | BELEN HEALY
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Gender | Female
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Dates
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Enumeration Date | 11/19/2021
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 300 NJ-35 #300
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City | EATONTOWN
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State | NJ
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Zip | 07724
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Country | US
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Telephone | 732-222-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MELROSE TER APT 211
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City | LONG BRANCH
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State | NJ
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Zip | 07740-8127
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Country | US
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Telephone | 201-421-9342
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 27OA00709600
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License Number State | NJ
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