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General NPI Number Information
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NPI Number | 1184245649
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Entity Type | Organization
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Legal Business Name | ASSOCIATED RETINAL CONSULTANTS, LLC
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 111 DEAN DR
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City | TENAFLY
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State | NJ
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Zip | 07670-2764
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Country | US
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Telephone | 201-567-5995
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Fax | 201-567-1354
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Provider Business Mailing Address
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Address Line | 1000 GALLOPING HILL RD STE 304
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City | UNION
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State | NJ
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Zip | 07083-7991
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Country | US
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Telephone | 908-458-8333
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | STEVEN A MADREPERLA
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Credential | MD, PHD
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Telephone | 908-458-8321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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