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General NPI Number Information
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NPI Number | 1710784327
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Entity Type | Organization
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Legal Business Name | ATLANTIC EYE PHYSICIANS, PLLC
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Dates
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Enumeration Date | 03/01/2025
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 1031 FARMINGTON AVE STE 101
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City | FARMINGTON
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State | CT
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Zip | 06032-1576
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Country | US
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Telephone | 860-259-4603
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 ALBANY AVE # 1159
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City | WEST HARTFORD
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State | CT
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Zip | 06117-2335
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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 | PRESIDENT
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Name | PAULA FENG
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Credential | MD
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Telephone | 860-259-4603
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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 |
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License Number State |
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