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General NPI Number Information
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NPI Number | 1689717712
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Entity Type | Individual
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Provider Name | THOMAS L SLAMOVITS MD
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 200 S BROAD ST
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-5003
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Country | US
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Telephone | 201-841-1031
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5268
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-5268
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Country | US
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Telephone | 201-841-1031
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1753091
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License Number State | NJ
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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 | MA 55248
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License Number State | NJ
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