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General NPI Number Information
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NPI Number | 1164710844
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Entity Type | Organization
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Legal Business Name | DR SUN EYE CARE, LLC
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 07/15/2011
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Provider Practice Location Address
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Address Line | 6 MARKET ST STE 920
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City | PLAINSBORO
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State | NJ
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Zip | 08536-2096
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Country | US
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Telephone | 609-799-1219
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MARKET ST STE 920
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City | PLAINSBORO
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State | NJ
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Zip | 08536-2096
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | O.D. OWNER
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Name | DR. XIAOYIN SUN
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Credential | O.D.
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Telephone | 609-799-1219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 27OA00626100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00626100
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License Number State | NJ
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