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General NPI Number Information
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NPI Number | 1366595241
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Entity Type | Organization
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Legal Business Name | YOUR EYES INC.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 135 QUAKERBRIDGE MALL
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-1902
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Country | US
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Telephone | 609-799-8380
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Fax | 609-799-5707
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Provider Business Mailing Address
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Address Line | 135 QUAKERBRIDGE MALL
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-1902
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Country | US
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Telephone | 609-799-8380
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Fax | 609-799-5707
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANGELO DIBARTOLO
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Credential | OPTICIAN
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Telephone | 856-234-9060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 31TD00078800
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License Number State | NJ
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