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General NPI Number Information
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NPI Number | 1952972770
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Entity Type | Individual
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Provider Name | MONICA GHABOUR OD
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Gender | Female
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Dates
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Enumeration Date | 07/02/2021
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Last Update Date | 07/02/2021
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Provider Practice Location Address
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Address Line | 2380 ROUTE 9
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City | HOWELL
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State | NJ
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Zip | 07731-4018
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Country | US
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Telephone | 732-984-6930
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Fax |
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Provider Business Mailing Address
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Address Line | 1610 RTE 35 STE 12
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City | OAKHURST
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State | NJ
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Zip | 07755-2960
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Country | US
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Telephone | 732-984-6930
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 27OA00707300
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License Number State | NJ
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