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General NPI Number Information
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NPI Number | 1144661638
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Entity Type | Individual
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Provider Name | ASTRID VICTORIA RANALDI OD
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Gender | Female
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 6624 LINCOLN AVE
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City | LOCKPORT
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State | NY
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Zip | 14094-6109
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Country | US
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Telephone | 716-433-8235
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Fax |
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Provider Business Mailing Address
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Address Line | 3035 GENESEE ST
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-2661
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Country | US
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Telephone | 716-706-4627
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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 | 2891
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License Number State | CT
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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 | TUV008092-1
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License Number State | NY
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