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General NPI Number Information
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NPI Number | 1164528980
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Entity Type | Organization
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Legal Business Name | PRINCETON EYE GROUP, PA
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 419 NORTH HARRISON STREET SUITE 104
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 609-921-9437
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Fax | 609-688-9941
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Provider Business Mailing Address
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Address Line | 419 NORTH HARRISON STREET SUITE 104
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 609-921-9437
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Fax | 609-688-9941
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN M FELTON
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Credential | M.D.
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Telephone | 609-921-9437
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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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