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General NPI Number Information
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NPI Number | 1144368598
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Entity Type | Individual
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Provider Name | VERA LETTINI OD
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 15811 HARRY VAN ARSDALE JR AVE
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City | FLUSHING
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State | NY
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Zip | 11365-3085
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Country | US
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Telephone | 718-581-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37
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City | ROSLYN
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State | NY
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Zip | 11576
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Country | US
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Telephone |
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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 | TUV0045891
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License Number State | NY
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