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General NPI Number Information
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NPI Number | 1770907172
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Entity Type | Organization
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Legal Business Name | EYE AND LASER SURGERY CENTERS OF NEW JERSEY LLC
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 330 SOUTH ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6020
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Country | US
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Telephone | 973-871-2020
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Fax | 973-871-2000
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Provider Business Mailing Address
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Address Line | 25 LINDSLEY DR SUITE 101
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4455
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Country | US
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Telephone | 973-871-2020
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Fax | 973-871-2000
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SEAN C LALIN
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Credential | M.D.
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Telephone | 973-871-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | NJ
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