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General NPI Number Information
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NPI Number | 1225231350
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Entity Type | Individual
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Provider Name | MARIE LYVIE MILORD O,D,
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2307 BEVERLEY RD
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City | BROOKLYN
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State | NY
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Zip | 11226-5407
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Country | US
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Telephone | 718-826-5063
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Fax | 718-284-9344
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Provider Business Mailing Address
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Address Line | 65 TRAFALGAR SQ
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City | LYNBROOK
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State | NY
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Zip | 11563-3135
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Country | US
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Telephone | 516-887-2013
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Fax | 718-284-9344
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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 | T005294
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License Number State | NY
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