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General NPI Number Information
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NPI Number | 1053639708
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Entity Type | Organization
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Legal Business Name | CFO RETAIL INC.
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Dates
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Enumeration Date | 05/05/2010
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Last Update Date | 05/05/2010
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Provider Practice Location Address
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Address Line | 11401 PINES BLVD STE 352
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-4105
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Country | US
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Telephone | 954-436-0966
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Fax | 954-436-0636
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Provider Business Mailing Address
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Address Line | 520 8TH AVE SUITE 900
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City | NEW YORK
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State | NY
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Zip | 10018-6507
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Country | US
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Telephone | 212-729-5300
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Fax | 212-729-5382
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Authorized Official
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Title or Position | OWNER
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Name | ALAN COHEN
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Credential | OD
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Telephone | 212-729-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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