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General NPI Number Information
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NPI Number | 1376873935
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Entity Type | Organization
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Legal Business Name | B KUBICK OPTICIANS INC
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Dates
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Enumeration Date | 01/05/2010
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 110 CENTRAL AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-2150
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Country | US
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Telephone | 908-233-5512
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Fax |
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Provider Business Mailing Address
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Address Line | 110 CENTRAL AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-2150
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Country | US
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Telephone | 908-233-5512
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER D BARTELL
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Credential | DO, HAD
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Telephone | 908-233-5512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 00987
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 003321
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License Number State | NJ
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