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General NPI Number Information
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NPI Number | 1265519268
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Entity Type | Individual
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Provider Name | MAUREEN E. MCCLEERY OD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 1501 ROUTE 22 W
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City | WATCHUNG
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State | NJ
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Zip | 07069-6507
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Country | US
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Telephone | 908-756-1325
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Fax |
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Provider Business Mailing Address
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Address Line | 17 MAIN ST
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City | HAMPTON
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State | NJ
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Zip | 08827-2769
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Country | US
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Telephone | 908-884-7285
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | #27OA00543700
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License Number State | NJ
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