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General NPI Number Information
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NPI Number | 1124269154
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Entity Type | Organization
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Legal Business Name | GRAND FASHION OPTICAL, INC
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Dates
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Enumeration Date | 03/22/2009
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Last Update Date | 11/15/2019
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Provider Practice Location Address
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Address Line | 99 ELIZABETH ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10013-4729
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Country | US
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Telephone | 212-226-8868
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Fax |
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Provider Business Mailing Address
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Address Line | 99 ELIZABETH ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10013-4729
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Country | US
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Telephone | 212-226-8868
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Fax |
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Authorized Official
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Title or Position | MD
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Name | NANCY NAI-EN TSAI
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Credential |
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Telephone | 212-227-8837
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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