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General NPI Number Information
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NPI Number | 1366517260
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Entity Type | Organization
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Legal Business Name | GARDEN STATE EYECARE INC.
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 7 KNOLLWOOD CT
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City | MANALAPAN
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State | NJ
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Zip | 07726-4652
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Country | US
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Telephone | 732-580-5828
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Fax | 732-617-1313
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Provider Business Mailing Address
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Address Line | 7 KNOLLWOOD CT
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City | MANALAPAN
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State | NJ
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Zip | 07726-4652
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Country | US
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Telephone | 732-580-5828
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Fax | 732-617-1313
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN BRUCE LINKER
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Credential | O.D.
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Telephone | 732-580-5828
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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 | 27OA00454300
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License Number State | NJ
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