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General NPI Number Information
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NPI Number | 1982927067
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Entity Type | Organization
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Legal Business Name | ERLICH EYE ASSOCIATES, LLC
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 53 VAN BUREN AVE
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City | TEANECK
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State | NJ
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Zip | 07666-4142
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Country | US
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Telephone | 215-432-5582
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Fax |
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Provider Business Mailing Address
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Address Line | 543 RIVER RD TARGET OPTICAL/ERLICH EYE ASSOCIATES
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City | EDGEWATER
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State | NJ
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Zip | 07020-1146
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/PRESIDENT
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Name | DR. SARA ERLICH
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Credential | O.D.
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Telephone | 201-943-1024
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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 | 27OA00618400
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License Number State | NJ
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