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General NPI Number Information
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NPI Number | 1073239059
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Entity Type | Individual
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Provider Name | WELEED LANGER OD
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Gender | Male
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 6353 RIDGE RD
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City | SODUS
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State | NY
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Zip | 14551-9743
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Country | US
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Telephone | 315-483-8300
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Fax | 585-483-0062
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone | 585-922-1900
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Fax | 585-922-1002
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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 | 27OA00717300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 009749
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License Number State | NY
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