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General NPI Number Information
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NPI Number | 1508031634
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Entity Type | Organization
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Legal Business Name | SKYLINE FAMILY EYECARE PA
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 130 SKYLINE DR
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City | RINGWOOD
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State | NJ
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Zip | 07456-2036
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Country | US
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Telephone | 973-962-0040
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Fax | 973-962-6629
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Provider Business Mailing Address
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Address Line | 130 SKYLINE DR
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City | RINGWOOD
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State | NJ
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Zip | 07456-2036
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Country | US
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Telephone | 973-962-0040
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Fax | 973-962-6629
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. EILEEN M. CURTIN
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Credential | O.D.
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Telephone | 973-962-0040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5216
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License Number State | NJ
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