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General NPI Number Information
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NPI Number | 1679635205
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Entity Type | Organization
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Legal Business Name | ALDEN LEIFER, MD. PC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 680 BROADWAY STE 114
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City | PATERSON
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State | NJ
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Zip | 07514-1526
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Country | US
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Telephone | 973-742-4747
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Fax | 973-742-0629
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Provider Business Mailing Address
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Address Line | 680 BROADWAY SUITE 114
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City | PATERSON
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State | NJ
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Zip | 07514
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Country | US
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Telephone | 973-742-4747
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Fax | 973-742-0629
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALDEN LEIFER
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Credential | M.D.
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Telephone | 973-742-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MA46643
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License Number State | NJ
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