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General NPI Number Information
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NPI Number | 1841608080
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Entity Type | Organization
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Legal Business Name | EYECARE PROFESSIONALS, P.C.
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 1777 KUSER RD
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City | HAMILTON SQUARE
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State | NJ
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Zip | 08690-3703
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Country | US
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Telephone | 609-581-5755
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Fax | 609-581-7055
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Provider Business Mailing Address
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Address Line | 1777 KUSER RD
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City | HAMILTON SQUARE
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State | NJ
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Zip | 08690-3703
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Country | US
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Telephone | 609-581-5755
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Fax | 609-581-7055
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. LISA M MACARTHUR
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Credential |
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Telephone | 609-581-5755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 27OA00655000
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License Number State | NJ
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