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General NPI Number Information
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NPI Number | 1750356481
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Entity Type | Organization
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Legal Business Name | RETINAL & OPHTHALMIC CONSULTANTS, P.C.
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 08/23/2012
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Provider Practice Location Address
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Address Line | 1500 TILTON RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1827
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Country | US
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Telephone | 609-646-5200
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Fax | 609-646-9868
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Provider Business Mailing Address
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Address Line | 1500 TILTON RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1827
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Country | US
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Telephone | 609-646-5200
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Fax | 609-646-9868
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHY PROIETTO
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Credential |
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Telephone | 606-646-5200
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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 | NJ
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