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General NPI Number Information
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NPI Number | 1730338914
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE EYE CARE PROFESSIONALS LLC
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 1 SPRING ST UNIT 101
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-2276
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Country | US
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Telephone | 732-202-0393
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Fax | 732-909-2147
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Provider Business Mailing Address
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Address Line | 73 SHERWOOD RD
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City | SPRINGFIELD
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State | NJ
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Zip | 07081
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Country | US
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Telephone | 732-202-0393
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Fax |
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Authorized Official
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Title or Position | PRACTITIONER
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Name | DR. ELIOT MILSKY
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Credential | O.D.
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Telephone | 917-660-3091
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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 | 27OA00614800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV007285
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OM00068900
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License Number State | NJ
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