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General NPI Number Information
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NPI Number | 1881664100
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Entity Type | Organization
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Legal Business Name | MEDICAL EYE CENTER, P.C.
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 12 KNOLLWOOD TRL W
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City | MENDHAM
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State | NJ
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Zip | 07945-3038
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Country | US
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Telephone | 973-543-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 12 KNOLLWOOD TRL W
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City | MENDHAM
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State | NJ
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Zip | 07945-3038
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Country | US
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Telephone | 973-543-1560
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA Y KALNINS
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Credential | M.D.
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Telephone | 973-543-1560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MA59654
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License Number State | NJ
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