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General NPI Number Information
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NPI Number | 1619002607
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Entity Type | Individual
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Provider Name | TRACEY LYNN SINOWAY O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 400 FRANKLIN AVE
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City | WYCKOFF
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State | NJ
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Zip | 07481-1347
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Country | US
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Telephone | 201-560-1000
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Fax | 201-560-0573
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Provider Business Mailing Address
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Address Line | 385 CARRIAGE LN
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City | WYCKOFF
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State | NJ
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Zip | 07481-2306
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Country | US
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Telephone | 201-891-8237
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Fax | 201-560-0573
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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 | 27OA00544500
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License Number State | NJ
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