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General NPI Number Information
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NPI Number | 1619093432
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Entity Type | Organization
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Legal Business Name | SOUTH JERSEY VISION CENTER, P.C.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 06/02/2010
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Provider Practice Location Address
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Address Line | 423 CLEMENTS BRIDGE RD
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City | BARRINGTON
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State | NJ
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Zip | 08007-1821
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Country | US
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Telephone | 856-547-0804
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Fax | 856-547-2780
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Provider Business Mailing Address
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Address Line | 423 CLEMENTS BRIDGE RD
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City | BARRINGTON
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State | NJ
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Zip | 08007-1821
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Country | US
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Telephone | 856-547-0804
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Fax | 856-547-2780
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH MICHAEL KAMERLING
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Credential | M.D.
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Telephone | 856-547-0804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA05518900
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License Number State | NJ
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