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General NPI Number Information
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NPI Number | 1619101094
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Entity Type | Organization
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Legal Business Name | FAMILY EYECARE OF WHARTON, P.A.
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 315 STATE ROUTE 15 N
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City | WHARTON
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State | NJ
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Zip | 07885-1222
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Country | US
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Telephone | 973-659-2048
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Fax | 973-659-2012
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Provider Business Mailing Address
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Address Line | 315 STATE ROUTE 15 N
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City | WHARTON
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State | NJ
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Zip | 07885-1222
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Country | US
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Telephone | 973-659-2048
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Fax | 973-659-2012
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Authorized Official
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Title or Position | OPTOMETRIC PHYSICIAN
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Name | DR. SHARON CAROL STEIN
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Credential | O.D.
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Telephone | 973-659-2048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 27OA00488600
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License Number State | NJ
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