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General NPI Number Information
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NPI Number | 1447462312
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Entity Type | Organization
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Legal Business Name | YASGUR EYE ASSOCIATES P.C.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 1415 MARLTON PIKE E SUITE 404
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2210
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Country | US
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Telephone | 856-429-0997
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Fax | 856-429-4799
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Provider Business Mailing Address
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Address Line | 1415 MARLTON PIKE E SUITE 404
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2210
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Country | US
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Telephone | 856-429-0997
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Fax | 856-429-4799
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEE H YASGUR
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Credential | M.D.
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Telephone | 856-429-0997
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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 | 25 MA039265
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License Number State | NJ
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