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General NPI Number Information
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NPI Number | 1447280102
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Entity Type | Organization
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Legal Business Name | PATERSON EYE & EAR INFIRMARY
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 680 BROADWAY
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City | PATERSON
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State | NJ
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Zip | 07514
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Country | US
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Telephone | 973-279-1044
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Fax | 973-279-1104
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Provider Business Mailing Address
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Address Line | PO BOX 3580
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City | WAYNE
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State | NJ
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Zip | 07470
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Country | US
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Telephone | 973-279-1044
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Fax | 973-279-1104
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | MRS. JOYCE A LAAUWE
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Credential |
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Telephone | 973-279-1044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA02974200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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