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General NPI Number Information
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NPI Number | 1730728908
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Entity Type | Organization
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Legal Business Name | FLEMINGTON EYE CARE, INC.
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Dates
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Enumeration Date | 01/05/2020
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Last Update Date | 01/05/2020
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Provider Practice Location Address
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Address Line | 315 STATE HIGHWAY 202
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1700
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Country | US
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Telephone | 908-788-5777
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Fax | 908-788-6748
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Provider Business Mailing Address
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Address Line | 20 NORTON RD
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-2938
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Country | US
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Telephone | 732-887-2662
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Fax | 908-788-6748
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Authorized Official
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Title or Position | OPTOMETRIST/INCORPORATOR
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Name | DOUGLAS GOLDSTEIN
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Credential | O.D.
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Telephone | 732-887-2662
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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 |
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License Number State |
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