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General NPI Number Information
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NPI Number | 1609507532
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Entity Type | Individual
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Provider Name | AQEELA BATOOL NAQVI OD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 639 BROAD ST SPC S-17
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4150
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Country | US
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Telephone | 732-534-3451
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Fax |
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Provider Business Mailing Address
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Address Line | 47 STATE ROUTE 33
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City | FREEHOLD
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State | NJ
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Zip | 07728-2506
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Country | US
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Telephone | 732-780-4220
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 27OA00712900
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License Number State | NJ
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