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General NPI Number Information
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NPI Number | 1164090809
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Entity Type | Individual
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Provider Name | KEVIN J FENG OD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2021
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 419 N HARRISON ST
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City | PRINCETON
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State | NJ
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Zip | 08540-3521
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Country | US
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Telephone | 609-921-9437
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Fax |
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Provider Business Mailing Address
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Address Line | 5717 225TH ST
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-2042
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Country | US
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Telephone | 718-913-0880
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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 | 27OA00712200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 27OA00712200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG003795
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License Number State | PA
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