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General NPI Number Information
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NPI Number | 1205272028
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Entity Type | Organization
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Legal Business Name | CARERITE LLC
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 2107 DITMAS AVE
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City | BROOKLYN
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State | NY
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Zip | 11226-6903
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Country | US
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Telephone | 212-764-0008
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Fax | 212-764-0038
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Provider Business Mailing Address
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Address Line | 52 BROADWAY # B SUITE 1A
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City | BROOKLYN
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State | NY
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Zip | 11249-5970
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Country | US
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Telephone | 212-764-0008
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Fax | 212-764-0038
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Authorized Official
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Title or Position | OWNER
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Name | MR. SOLOMON KLEIN
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Credential |
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Telephone | 347-909-1811
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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 |
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License Number State |
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