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General NPI Number Information
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NPI Number | 1538369061
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Entity Type | Organization
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Legal Business Name | OPHTHALMOLOGY ASSOCIATES
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 800 BUNN DR SUITE 301
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City | PRINCETON
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State | NJ
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Zip | 08540-1968
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Country | US
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Telephone | 609-924-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 800 BUNN DR SUITE 301
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City | PRINCETON
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State | NJ
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Zip | 08540-1968
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Country | US
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Telephone | 609-924-3700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW C. LIPKA
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Credential | MD
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Telephone | 609-924-3700
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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 | 25MA04790500
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License Number State | NJ
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