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General NPI Number Information
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NPI Number | 1184778128
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Entity Type | Organization
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Legal Business Name | THE EYECARE CENTER LLC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 286 MARKET ST
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-2014
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Country | US
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Telephone | 201-493-8817
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Fax | 201-493-8118
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Provider Business Mailing Address
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Address Line | 1462 VAN HOUTEN AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-2426
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Country | US
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Telephone | 201-493-8817
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Fax | 201-493-8118
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Authorized Official
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Title or Position | DOCTOR, MEMBER
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Name | DR. JAMES A CINDRARIO
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Credential | OPTOMETRIST
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Telephone | 201-493-8817
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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 | 27OA00518300
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License Number State | NJ
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