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General NPI Number Information
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NPI Number | 1912286972
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Entity Type | Organization
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Legal Business Name | NINA LEMBERG OD LLC
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 18 ROUTE 9 NORTH
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1432
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Country | US
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Telephone | 732-617-4355
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Fax |
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Provider Business Mailing Address
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Address Line | 18 ROUTE 9 NORTH
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | NINA LEMBERG
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Credential |
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Telephone | 732-617-4355
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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 | 27OA00617700
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License Number State |
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