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General NPI Number Information
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NPI Number | 1184306078
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Entity Type | Individual
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Provider Name | SAYUJ ZACHARIAH OD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 27130 77TH AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1446
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Country | US
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Telephone | 718-343-1414
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Fax | 718-343-2578
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Provider Business Mailing Address
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Address Line | 42 DOGWOOD RD
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City | ALBERTSON
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State | NY
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Zip | 11507-1028
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Country | US
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Telephone | 347-551-1761
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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 | 009877
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License Number State | NY
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