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General NPI Number Information
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NPI Number | 1356931091
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Entity Type | Organization
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Legal Business Name | DR. GRACE D. TAMMERA
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 1192 WHITE HORSE RD
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City | VOORHEES
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State | NJ
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Zip | 08043-2104
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Country | US
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Telephone | 856-428-0100
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Fax | 856-428-6788
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Provider Business Mailing Address
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Address Line | 1192 WHITE HORSE RD
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City | VOORHEES
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State | NJ
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Zip | 08043-2104
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Country | US
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Telephone | 856-428-0100
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Fax | 856-428-6788
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Authorized Official
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Title or Position | OPTOMETRIC PHYSICIAN
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Name | DR. GRACE D TAMMERA
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Credential | OD
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Telephone | 856-428-0100
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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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