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General NPI Number Information
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NPI Number | 1811519200
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Entity Type | Individual
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Provider Name | STEPHANIE D'ALLURA
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Gender | Female
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1625 RTE 71
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City | WALL
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State | NJ
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Zip | 07719-3153
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Country | US
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Telephone | 732-305-8340
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 RTE 71
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City | WALL
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State | NJ
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Zip | 07719-3153
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Country | US
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Telephone |
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Fax |
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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 | 27OA00698100
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License Number State | NJ
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