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General NPI Number Information
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NPI Number | 1093989634
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Entity Type | Organization
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Legal Business Name | FOCUS VISION CARE OPTOMETRY P.C
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 1922 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3518
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Country | US
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Telephone | 718-448-1622
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Fax | 718-448-7906
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Provider Business Mailing Address
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Address Line | 1922 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3518
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Country | US
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Telephone | 718-448-1622
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Fax | 718-448-7906
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JYOTSNA JAIN
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Credential | O.D
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Telephone | 718-448-1622
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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 | VUTOO5604
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License Number State | NY
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