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General NPI Number Information
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NPI Number | 1750617593
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Entity Type | Organization
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Legal Business Name | DANIEL KOHANSBY, O.D. PC
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Dates
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Enumeration Date | 10/29/2009
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 418 ROUTE 23
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City | FRANKLIN
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State | NJ
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Zip | 07416-2120
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Country | US
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Telephone | 973-827-4120
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Fax | 973-827-0782
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Provider Business Mailing Address
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Address Line | 418 ROUTE 23
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City | FRANKLIN
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State | NJ
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Zip | 07416-2120
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Country | US
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Telephone | 973-827-4120
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Fax | 973-827-0782
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. DANIEL KOHANSBY
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Credential | O.D.
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Telephone | 973-827-4120
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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 | 27OA00547900
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License Number State | NJ
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