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General NPI Number Information
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NPI Number | 1508970880
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Entity Type | Organization
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Legal Business Name | PEDIATRIC EYE PHYSICIANS, P.C.
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 95 MADISON AVE STE 301
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6389
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Country | US
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Telephone | 973-540-8814
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Fax | 973-540-8731
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Provider Business Mailing Address
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Address Line | 95 MADISON AVE STE 301
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6389
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Country | US
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Telephone | 973-540-8814
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Fax | 973-540-8731
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUCY L CHEN
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Credential | M.D.
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Telephone | 973-540-8814
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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 | 26MA05936900
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License Number State | NJ
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