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NPI 1699757856

NPI 1699757856 : JOHN F INSINGA : DOVER, NJ

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General NPI Number Information
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    NPI Number           |    1699757856
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN F INSINGA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/15/2005
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    Last Update Date     |    08/05/2015
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Provider Practice Location Address
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    Address Line         |    16 N MORRIS ST 
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    City                 |    DOVER
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    State                |    NJ
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    Zip                  |    07801-3910
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    Country              |    US
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    Telephone            |    973-366-1571
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    Fax                  |    973-366-1576
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Provider Business Mailing Address
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    Address Line         |    16 N MORRIS ST 
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    City                 |    DOVER
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    State                |    NJ
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    Zip                  |    07801-3910
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    Country              |    US
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    Telephone            |    973-366-1571
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    Fax                  |    973-366-1576
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    270A00549300
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    License Number State |    NJ
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