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General NPI Number Information
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NPI Number | 1427150564
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Entity Type | Organization
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Legal Business Name | ALLIED VISION SERVICES, PA
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2495 US HIGHWAY 1 STE 8
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4099
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Country | US
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Telephone | 609-882-2888
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Fax | 609-530-0317
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Provider Business Mailing Address
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Address Line | 2495 US HIGHWAY 1 STE 8
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4099
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Country | US
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Telephone | 609-882-2888
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Fax | 609-530-0317
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. STUART S KOLBER
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Credential | O.D.
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Telephone | 609-882-2888
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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 |
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License Number State |
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