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NPI 1053438564

NPI 1053438564 : MICHELE ROBIN BESSLER O.D. : WESTBURY, NY

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General NPI Number Information
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    NPI Number           |    1053438564
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELE ROBIN BESSLER O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/22/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    265 POST AVENUE SUITE 380
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    City                 |    WESTBURY
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    State                |    NY
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    Zip                  |    11590-2233
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    Country              |    US
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    Telephone            |    516-334-9385
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    Fax                  |    516-334-9388
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Provider Business Mailing Address
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    Address Line         |    25 AMHERST RD 
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    City                 |    PORT WASHINGTON
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    State                |    NY
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    Zip                  |    11050-4101
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    Country              |    US
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    Telephone            |    516-767-8713
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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        |    152WV0400X
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    Taxonomy Name        |    Vision Therapy Optometrist
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    License Number       |    TUV005207-1
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    License Number State |    NY
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