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General NPI Number Information
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NPI Number | 1881729150
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Entity Type | Individual
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Provider Name | STUART MARK ROTHMAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 349 E NORTHFIELD RD SUITE LL3
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4802
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Country | US
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Telephone | 973-992-0998
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Fax | 973-992-8961
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Provider Business Mailing Address
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Address Line | 349 E NORTHFIELD RD SUITE LL3
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4802
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Country | US
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Telephone | 973-992-0998
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Fax | 973-992-8961
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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 | 27OA00419500
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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 | T003783-1
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License Number State | NY
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