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General NPI Number Information
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NPI Number | 1760842793
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Entity Type | Organization
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Legal Business Name | ADVANCED EYECARE 2020
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 90 PASSAIC AVE
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City | KEARNY
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State | NJ
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Zip | 07032-1106
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Country | US
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Telephone | 201-998-8135
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Fax |
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Provider Business Mailing Address
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Address Line | 90 PASSAIC AVE
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City | KEARNY
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State | NJ
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Zip | 07032-1106
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Country | US
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Telephone | 201-998-8135
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOHIT KAPOOR
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Credential | O.D.
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Telephone | 973-617-7421
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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 | 27OA00657900
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License Number State | NJ
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