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General NPI Number Information
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NPI Number | 1336200179
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Entity Type | Organization
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Legal Business Name | RONALD B. WILSON & LARRY J. GREIDINGER PTRS
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 4 PRINCESS RD SUITE 202
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2322
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Country | US
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Telephone | 609-219-9000
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Fax | 609-219-1313
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Provider Business Mailing Address
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Address Line | 4 PRINCESS RD SUITE 202
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2322
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Country | US
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Telephone | 609-219-9000
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Fax | 609-219-1313
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Authorized Official
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Title or Position | PARTNER
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Name | LARRY J GREIDINGER
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Credential | O.D.
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Telephone | 609-219-9000
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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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