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General NPI Number Information
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NPI Number | 1194891184
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Entity Type | Organization
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Legal Business Name | ARDEE ASSOCIATES OYSTER BAY LLC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 350 MONTAUK HWY
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City | LINDENHURST
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State | NY
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Zip | 11757-6137
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Country | US
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Telephone | 631-225-5828
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Fax | 631-225-5271
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Provider Business Mailing Address
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Address Line | 520 8TH AVE 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10018-6507
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Country | US
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Telephone | 212-792-8136
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Fax | 212-792-8137
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Authorized Official
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Title or Position | DIRECTOR OF RECRUITMENT & CREDENTIA
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Name | MRS. KIM CARUSO
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Credential |
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Telephone | 212-792-8136
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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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