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General NPI Number Information
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NPI Number | 1669586368
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Entity Type | Organization
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Legal Business Name | NEW CENTURYEYE ASSOCIATES, PA
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1011 W WILLIAMS ST SUITE 103
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City | APEX
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State | NC
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Zip | 27502-3979
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Country | US
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Telephone | 919-362-7707
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Fax | 919-362-7709
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Provider Business Mailing Address
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Address Line | 1011 W. WILLIAMS STREET SUITE 103
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City | APEX
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State | NC
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Zip | 27502-3979
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Country | US
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Telephone | 919-362-7707
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Fax | 919-362-7709
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VINOD K JINDAL
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Credential |
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Telephone | 919-362-7707
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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 | 119536
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License Number State | NC
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