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General NPI Number Information
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NPI Number | 1184907818
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Entity Type | Organization
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Legal Business Name | DR. PATRICIA LEGGIN, OD PRIMARY EYECARE
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Dates
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Enumeration Date | 09/20/2011
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 284 ROUTE 206 BUILDING E, SUITE 8
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4690
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Country | US
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Telephone | 908-359-1210
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Fax | 908-359-1821
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Provider Business Mailing Address
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Address Line | 284 ROUTE 206 BUILDING E, SUITE 8
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4690
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Country | US
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Telephone | 908-359-1210
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Fax | 908-359-1821
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Authorized Official
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Title or Position | OWNER, OPTOMETRIST
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Name | PATRICIA LEGGIN
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Credential | O.D.
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Telephone | 908-432-6391
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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 | 27OA00537402
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License Number State | NJ
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