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General NPI Number Information
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NPI Number | 1174707905
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Entity Type | Organization
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Legal Business Name | HOMERRICH OPTICIANS
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 26 TRIANGLE SHOPPING CTR
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598
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Country | US
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Telephone | 914-245-6138
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Fax |
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Provider Business Mailing Address
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Address Line | 26 TRIANGLE SHOPPING CTR
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City | YORKTOWN
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State | NY
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Zip | 10541
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Country | US
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Telephone | 914-245-6138
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Fax |
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Authorized Official
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Title or Position | OPTICIAN
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Name | MR. LEONARD DIPAOLO
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Credential | OD
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Telephone | 914-245-6138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 003479
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License Number State | NY
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