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General NPI Number Information
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NPI Number | 1467649475
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Entity Type | Organization
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Legal Business Name | FRANK BUCCIERO OD
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 100 MORRIS AVE
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-1427
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Country | US
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Telephone | 973-376-3151
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Fax | 973-376-8176
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Provider Business Mailing Address
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Address Line | 100 MORRIS AVE
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-1427
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Country | US
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Telephone | 973-376-3151
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Fax | 973-376-8176
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANK BUCCIERO
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Credential | O.D.
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Telephone | 973-376-3151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 27OM00019000
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License Number State | NJ
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