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General NPI Number Information
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NPI Number | 1609012848
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Entity Type | Organization
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Legal Business Name | ABBATE FAMILY EYECARE, LLC
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Dates
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Enumeration Date | 12/17/2008
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Last Update Date | 12/17/2008
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Provider Practice Location Address
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Address Line | 2010 MARLTON PIKE W STE. C
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2776
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Country | US
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Telephone | 856-663-9494
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Fax | 856-662-5451
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Provider Business Mailing Address
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Address Line | 2010 MARLTON PIKE W STE. C
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2776
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Country | US
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Telephone | 856-663-9494
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Fax | 856-662-5451
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGG A. ABBATE
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Credential | O.D.
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Telephone | 856-663-9494
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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 | 27TO00133800
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License Number State | NJ
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