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General NPI Number Information
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NPI Number | 1790843589
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Entity Type | Organization
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Legal Business Name | AMY G SHEFFIELD, O.D.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1251 ROUTE 130
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City | CINNAMINSON
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State | NJ
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Zip | 08077
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Country | US
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Telephone | 856-829-5212
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Fax | 856-829-1105
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Provider Business Mailing Address
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Address Line | 1251 ROUTE 130
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City | CINNAMINSON
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State | NJ
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Zip | 08077
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Country | US
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Telephone | 856-829-5212
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Fax | 856-829-1105
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | AMY G SHEFFIELD
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Credential | O.D.
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Telephone | 856-829-5212
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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 | 5065
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License Number State | NJ
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