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General NPI Number Information
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NPI Number | 1215625256
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Entity Type | Organization
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Legal Business Name | ROYAL-TL INC DBA THIERRY LASRY
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 265 LAFAYETTE ST
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City | NEW YORK
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State | NY
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Zip | 10012-4035
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Country | US
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Telephone | 212-495-9265
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Fax |
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Provider Business Mailing Address
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Address Line | 270 LAFAYETTE ST STE 612
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City | NEW YORK
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State | NY
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Zip | 10012-3327
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Country | US
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Telephone | 212-495-9265
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. THIERRY LASRY
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Credential |
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Telephone | 212-495-9265
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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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