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General NPI Number Information
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NPI Number | 1194361774
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Entity Type | Organization
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Legal Business Name | EYE KEY RETINA CENTER LLC
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 4423 ROUTE 130 S
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City | BURLINGTON
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State | NJ
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Zip | 08016-2385
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Country | US
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Telephone | 609-386-0202
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Fax | 609-386-5927
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Provider Business Mailing Address
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Address Line | 205 LLANFAIR RD
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City | ARDMORE
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State | PA
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Zip | 19003-3306
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Country | US
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Telephone | 610-628-9988
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Fax | 610-968-1800
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JEREMY AIKEY
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Credential | DO
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Telephone | 610-628-9988
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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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