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General NPI Number Information
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NPI Number | 1174766752
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Entity Type | Organization
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Legal Business Name | DAVID D'ALESSANDRO, O.D.,P.A.
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 10/22/2009
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Provider Practice Location Address
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Address Line | 50 E MAIN ST SUITE 4, SECOND FLOOR
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City | LITTLE FALLS
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State | NJ
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Zip | 07424-5604
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Country | US
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Telephone | 973-890-9044
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Fax | 973-890-9054
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Provider Business Mailing Address
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Address Line | PO BOX 365
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City | LITTLE FALLS
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State | NJ
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Zip | 07424-0365
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Country | US
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Telephone | 973-890-9044
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Fax | 973-890-9054
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Authorized Official
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Title or Position | DOCTOR OF OPTOMETRY
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Name | DR. DAVID D'ALESSANDRO
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Credential | O.D.
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Telephone | 973-890-9044
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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 | 27OA00536301
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License Number State | NJ
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