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General NPI Number Information
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NPI Number | 1568674497
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Entity Type | Organization
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Legal Business Name | CONTACT LENS AND VISION CONSULTANTS, P.A
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 161 WOODBRIDGE CENTER DR STE A
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City | WOODBRIDGE
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State | NJ
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Zip | 07095
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Country | US
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Telephone | 732-855-7950
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Fax | 732-726-1735
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Provider Business Mailing Address
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Address Line | 161WOODBRIDGE CENTER DR STE A
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City | WOODBRIDGE
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State | NJ
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Zip | 07095
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Country | US
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Telephone | 732-855-7950
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Fax | 732-726-1735
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KERRY GELB
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Credential | O.D.
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Telephone | 732-855-7950
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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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