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General NPI Number Information
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NPI Number | 1609421148
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Entity Type | Organization
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Legal Business Name | HILLSDALE VISION CENTER, PC
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Dates
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Enumeration Date | 08/01/2019
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 185 BROADWAY SUITE #1
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City | HILLSDALE
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State | NJ
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Zip | 07642
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Country | US
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Telephone | 201-666-0230
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Fax | 201-722-1111
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Provider Business Mailing Address
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Address Line | 185 BROADWAY SUITE #1
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City | HILLSDALE
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State | NJ
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Zip | 07642
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Country | US
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Telephone | 201-666-0230
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Fax | 201-722-1111
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADAM H. GARDNER
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Credential | OD
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Telephone | 201-666-0230
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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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