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General NPI Number Information
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NPI Number | 1801991898
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Entity Type | Individual
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Provider Name | JOHN ANDREW SZCZEPANSKI O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 59 MEADOWYCK DR
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City | LAUREL SPRINGS
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State | NJ
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Zip | 08021-4876
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Country | US
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Telephone | 856-783-2023
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Fax | 856-783-8323
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Provider Business Mailing Address
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Address Line | 59 MEADOWYCK DR
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City | LAUREL SPRINGS
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State | NJ
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Zip | 08021-4876
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Country | US
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Telephone | 856-783-2023
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Fax | 856-783-8323
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 27OA00385500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27TO00034200
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License Number State | NJ
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