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NPI 1750718656

NPI 1750718656 : JAMES A CINDRARIO O D P C : ELMWOOD PARK, NJ

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General NPI Number Information
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    NPI Number           |    1750718656
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    Entity Type          |    Organization 
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    Legal Business Name  |    JAMES A CINDRARIO O D P C 
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Dates
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    Enumeration Date     |    10/09/2013
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    Last Update Date     |    10/09/2013
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Provider Practice Location Address
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    Address Line         |    286 MARKET ST 
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    City                 |    ELMWOOD PARK
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    State                |    NJ
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    Zip                  |    07407-2014
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    Country              |    US
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    Telephone            |    201-493-8817
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    Fax                  |    201-493-8118
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Provider Business Mailing Address
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    Address Line         |    502 STONEWALL CT 
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    City                 |    WYCKOFF
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    State                |    NJ
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    Zip                  |    07481-2947
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    Country              |    US
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    Telephone            |    201-493-8817
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    Fax                  |    201-493-8118
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Authorized Official
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    Title or Position    |    OPTOMETRIST
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    Name                 |    DR. JAMES A CINDRARIO 
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    Credential           |    O.D.
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    Telephone            |    201-493-8817
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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 |    NJ
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