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General NPI Number Information
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NPI Number | 1477718252
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Entity Type | Organization
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Legal Business Name | IN SIGHT OPTICS, INC
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 4 SECOND AVE STE 104
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City | DENVILLE
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State | NJ
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Zip | 07834
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Country | US
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Telephone | 973-627-8818
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Fax | 973-627-5469
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Provider Business Mailing Address
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Address Line | 4 SECOND AVE STE 104
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City | DENVILLE
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State | NJ
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Zip | 07834
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Country | US
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Telephone | 973-627-8818
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Fax | 973-627-5469
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SAMUEL PAUL PORFIDO JR.
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Credential | FNAO
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Telephone | 973-627-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | D1097
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State | NJ
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