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General NPI Number Information
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NPI Number | 1922139666
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Entity Type | Organization
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Legal Business Name | SOMERSET HILLS EYE CARE CENTER
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 02/20/2011
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Provider Practice Location Address
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Address Line | 2345 LAMINGTON RD STE 110
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City | BEDMINSTER
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State | NJ
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Zip | 07921-2612
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Country | US
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Telephone | 908-766-4834
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Fax | 908-766-4384
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Provider Business Mailing Address
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Address Line | 2345 LAMINGTON RD STE 110
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City | BEDMINSTER
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State | NJ
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Zip | 07921-2612
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Country | US
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Telephone | 908-766-4834
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Fax | 908-766-4384
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY SULLIVAN
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Credential | M.D.
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Telephone | 908-766-4834
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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 |
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