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General NPI Number Information
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NPI Number | 1902478308
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Entity Type | Organization
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Legal Business Name | ASSOCIATED RETINAL CONSULTANTS, LLC
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 1401 HIGHWAY 70 #18
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City | CHERRY HILL
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State | NJ
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Zip | 08034-0803
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Country | US
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Telephone | 856-428-5797
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Fax | 856-428-6359
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Provider Business Mailing Address
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Address Line | PO BOX 24014
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City | BELFAST
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State | ME
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Zip | 04915-4491
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Country | US
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Telephone | 908-458-8313
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | STEVEN A MADREPERLA
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Credential | MD, PHD
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Telephone | 908-458-8321
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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