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General NPI Number Information
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NPI Number | 1154564201
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Entity Type | Organization
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Legal Business Name | MY VISION AID
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Dates
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Enumeration Date | 04/18/2009
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Last Update Date | 04/18/2009
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Provider Practice Location Address
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Address Line | 647 MCLEAN AVE
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City | YONKERS
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State | NY
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Zip | 10705-4736
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Country | US
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Telephone | 914-216-5114
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Fax | 914-623-7445
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Provider Business Mailing Address
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Address Line | 647 MCLEAN AVE
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City | YONKERS
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State | NY
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Zip | 10705-4736
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Country | US
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Telephone | 914-216-5114
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Fax | 914-623-7445
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Authorized Official
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Title or Position | PRESIDENT
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Name | MOUNIR SOBHI
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Credential |
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Telephone | 914-216-5114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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