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General NPI Number Information
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NPI Number | 1134849268
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Entity Type | Individual
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Provider Name | JESSICA B RIMM OD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 330 W 58TH ST STE 600
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City | NEW YORK
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State | NY
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Zip | 10019-1817
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Country | US
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Telephone | 212-204-0600
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Fax | 212-600-5826
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Provider Business Mailing Address
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Address Line | 330 W 58TH ST STE 330W58TH
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City | NEW YORK
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State | NY
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Zip | 10019-1827
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Country | US
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Telephone | 212-204-0600
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Fax | 212-600-5826
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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 | TUV009649
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License Number State | NY
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