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General NPI Number Information
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NPI Number | 1508023250
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Entity Type | Organization
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Legal Business Name | OPTI-TECH, LLC.
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 403 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-2642
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Country | US
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Telephone | 973-473-8102
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Fax |
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Provider Business Mailing Address
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Address Line | 403 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-2642
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. STEVEN BERNSTEIN
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Credential |
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Telephone | 973-473-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 25MA024404700
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License Number State | NJ
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