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General NPI Number Information
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NPI Number | 1215735287
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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 | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 650 S WHITE HORSE PIKE STE A
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City | HAMMONTON
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State | NJ
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Zip | 08037-2008
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Country | US
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Telephone | 609-567-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 420 MOUNTAIN AVE FL 4
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City | NEW PROVIDENCE
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State | NJ
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Zip | 07974-2736
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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 | PRESIDENT/CEO
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Name | STEVEN MADREPERLA
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Credential |
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Telephone | 908-458-8333
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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 |
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License Number State |
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Taxonomy #2
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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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