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General NPI Number Information
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NPI Number | 1932409885
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Entity Type | Organization
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Legal Business Name | FLEMINGTON VISION AND EYE WEAR
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 63 MAIN ST SUITE 207
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1421
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Country | US
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Telephone | 908-968-3107
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Fax | 908-271-6105
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Provider Business Mailing Address
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Address Line | 63 MAIN ST SUITE 207
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1421
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Country | US
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Telephone | 908-968-3107
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Fax | 908-271-6105
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. SUSAN RICE
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Credential |
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Telephone | 908-968-3107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OA5600
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License Number State | NJ
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