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General NPI Number Information
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NPI Number | 1407985237
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Entity Type | Organization
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Legal Business Name | STEVEN E. BUCHMAN, O.D., P.A.
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 55 STATE ROUTE 34 SUITE A
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City | MATAWAN
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State | NJ
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Zip | 07747-1957
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Country | US
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Telephone | 732-946-9686
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Fax |
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Provider Business Mailing Address
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Address Line | 55 STATE ROUTE 34 SUITE A
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City | MATAWAN
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State | NJ
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Zip | 07747-1957
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Country | US
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Telephone | 732-946-9686
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN BUCHMAN
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Credential | OD
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Telephone | 732-946-9686
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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 | 27OA00383400
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License Number State | NJ
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