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General NPI Number Information
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NPI Number | 1962786590
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Entity Type | Organization
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Legal Business Name | THE EYE PROFESSIONALS LLC
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 1205 N HIGH ST
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City | MILLVILLE
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State | NJ
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Zip | 08332-2530
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Country | US
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Telephone | 856-825-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 225 SUNSET RD
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City | WILLINGBORO
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State | NJ
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Zip | 08046-1109
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Country | US
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Telephone | 609-877-2800
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Fax | 609-877-1813
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | GREGORY H SCIMECA
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Credential | MD
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Telephone | 609-877-2800
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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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