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General NPI Number Information
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NPI Number | 1124212519
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Entity Type | Individual
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Provider Name | IRIT M. ZAKAIM O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 7809 MYRTLE AVE
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City | GLENDALE
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State | NY
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Zip | 11385-7439
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Country | US
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Telephone | 513-474-4444
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Fax | 513-474-7915
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Provider Business Mailing Address
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Address Line | 7809 MYRTLE AVE
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City | GLENDALE
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State | NY
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Zip | 11385-7439
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Country | US
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Telephone | 718-386-1818
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1710 DT
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License Number State | KY
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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 | 5756/T2670
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV7215
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License Number State | NY
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