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General NPI Number Information
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NPI Number | 1912915729
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Entity Type | Organization
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Legal Business Name | FLEMINGTON EYE & REFRACTIVE SURGERY CENTER
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1100 WESCOTT DR SUITE 304
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4600
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Country | US
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Telephone | 908-788-6472
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Fax | 908-788-6467
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Provider Business Mailing Address
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Address Line | 1100 WESCOTT DR SUITE 304
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4600
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Country | US
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Telephone | 908-788-6472
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Fax | 908-788-6467
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PAUL S PHILLIPS
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Credential | MD
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Telephone | 908-788-6472
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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 |
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License Number State | NJ
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