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General NPI Number Information
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NPI Number | 1154799484
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Entity Type | Individual
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Provider Name | DR. LAURA SLOAN
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Gender | Female
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 3333 US HIGHWAY 9
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City | FREEHOLD
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State | NJ
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Zip | 07728-8503
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Country | US
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Telephone | 732-780-5771
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Fax |
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Provider Business Mailing Address
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Address Line | 1989 LEONARD DR
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City | TOMS RIVER
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State | NJ
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Zip | 08755-1502
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Country | US
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Telephone | 732-244-7722
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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 | 05109
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License Number State | NJ
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