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General NPI Number Information
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NPI Number | 1093849838
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Entity Type | Organization
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Legal Business Name | EYE-Q CORPORATION OF AMERICA
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 3400 NESCONSET HWY SUITE 107
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3327
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Country | US
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Telephone | 631-751-2020
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Fax | 631-751-0048
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Provider Business Mailing Address
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Address Line | 3400 NESCONSET HWY SUITE 107
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3327
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Country | US
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Telephone | 631-751-2020
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Fax | 631-751-0048
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. BARBARA J LORENZ
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Credential |
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Telephone | 631-751-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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