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General NPI Number Information
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NPI Number | 1649324377
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Entity Type | Organization
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Legal Business Name | PASCACK VALLEY OPHTHALMOLOGY ASSOC PA
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 400 OLD HOOK RD
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City | WESTWOOD
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State | NJ
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Zip | 07675-2732
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Country | US
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Telephone | 201-664-8989
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Fax | 201-664-5106
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Provider Business Mailing Address
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Address Line | 400 OLD HOOK RD
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City | WESTWOOD
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State | NJ
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Zip | 07675-2732
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Country | US
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Telephone | 201-664-8989
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Fax | 201-664-5106
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Authorized Official
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Title or Position | PHYSICIAN OPHTHALMOLOGIST
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Name | DR. NORMAN STEINBAUM
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Credential | MD
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Telephone | 201-664-8989
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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 | 25MA02359100
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License Number State | NJ
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