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General NPI Number Information
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NPI Number | 1548265895
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Entity Type | Organization
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Legal Business Name | SUSSKIND & ALMALLAH EYE ASSOCIATES, PA
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 20 MULE RD
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City | TOMS RIVER
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State | NJ
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Zip | 08755-5028
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Country | US
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Telephone | 732-349-5622
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Fax | 732-349-5625
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Provider Business Mailing Address
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Address Line | 20 MULE RD
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City | TOMS RIVER
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State | NJ
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Zip | 08755-5028
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Country | US
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Telephone | 732-349-5622
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Fax | 732-349-5625
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OMAR F ALMALLAH
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Credential | MD
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Telephone | 732-349-5622
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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