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General NPI Number Information
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NPI Number | 1275744930
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Entity Type | Organization
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Legal Business Name | WILLIAM J PRINSKET OD PA
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 284 US HIGHWAY 206 BUILDING E SUITE 8
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4624
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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 US HIGHWAY 206 BUILDING E SUITE 8
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4624
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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 | PRESIDENT
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Name | WILLIAM JOSEPH PRINSKET
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Credential | O.D.
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Telephone | 908-359-1210
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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 | 27OA00378300
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License Number State | NJ
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