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General NPI Number Information
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NPI Number | 1659261170
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Entity Type | Organization
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Legal Business Name | ASSOCIATED RETINAL CONSULTANTS LLC
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 2021 NEW RD
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City | LINWOOD
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State | NJ
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Zip | 08221-1045
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Country | US
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Telephone | 609-927-3373
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Fax |
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Provider Business Mailing Address
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Address Line | 420 MOUNTAIN AVE FL 4
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City | NEW PROVIDENCE
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State | NJ
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Zip | 07974-2736
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP, CREDENTIALING AND PAYER RELATIO
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Name | JENNIFER HASTIE
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Credential |
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Telephone | 214-415-9671
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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