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General NPI Number Information
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NPI Number | 1376428144
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Entity Type | Organization
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Legal Business Name | OPHTHALMOLOGY NJ LLC
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Dates
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Enumeration Date | 08/09/2025
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 16 POCONO RD STE 212
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City | DENVILLE
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State | NJ
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Zip | 07834-2907
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Country | US
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Telephone | 862-209-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 400 VALLEY RD STE 106
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City | MOUNT ARLINGTON
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State | NJ
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Zip | 07856-2316
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | YERLIN MARIA BARQUERO CAMPOS
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Credential |
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Telephone | 732-599-9011
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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 |
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License Number State |
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