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General NPI Number Information
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NPI Number | 1366494486
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Entity Type | Individual
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Provider Name | JOSEPH ANDREW SCHKOLNICK O.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 616 BLOOMFIELD AVE STE 3B
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City | WEST CALDWELL
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State | NJ
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Zip | 07006-7585
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Country | US
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Telephone | 973-228-9786
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Fax | 973-228-5427
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Provider Business Mailing Address
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Address Line | 616 BLOOMFIELD AVE STE 3B
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City | WEST CALDWELL
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State | NJ
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Zip | 07006-7585
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Country | US
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Telephone | 973-228-9786
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Fax | 973-228-5427
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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 | 27OA00478800
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License Number State | NJ
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