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General NPI Number Information
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NPI Number | 1730341488
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Entity Type | Individual
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Provider Name | REENA A. PATEL OD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 509 S LENOLA RD BLDG 11-A
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City | MOORESTOWN
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State | NJ
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Zip | 08057-1561
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Country | US
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Telephone | 856-231-5911
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Fax |
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Provider Business Mailing Address
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Address Line | 509 S LENOLA RD BLDG 11-A
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City | MOORESTOWN
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State | NJ
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Zip | 08057-1561
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Country | US
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Telephone | 856-231-5911
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV007269
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License Number State | NY
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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 | 27OA00619800
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License Number State | NJ
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