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General NPI Number Information
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NPI Number | 1902138936
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Entity Type | Organization
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Legal Business Name | NJ EYE PROFESSIONALS, LLC
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 906 OAK TREE AVE SUITE I
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-5127
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Country | US
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Telephone | 908-222-8773
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Fax | 908-222-8771
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Provider Business Mailing Address
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Address Line | 1308 CENTENNIAL AVE SUITE 345
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City | PISCATAWAY
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State | NJ
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Zip | 08854-4324
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Country | US
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Telephone | 908-222-8773
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Fax | 908-222-8771
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ZENITH Y. YLANAN
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Credential | RN
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Telephone | 908-222-8700
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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 | 25MA06158600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA06628500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA08315500
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA08442900
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA03966500
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 27OA0343600
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 103383-2
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA02048600
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License Number State | NJ
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