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General NPI Number Information
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NPI Number | 1225350473
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Entity Type | Organization
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Legal Business Name | BMZ GROUP INC
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Dates
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Enumeration Date | 02/15/2010
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Last Update Date | 02/15/2010
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Provider Practice Location Address
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Address Line | 101 BAY AVE
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City | HICKSVILLE
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State | NY
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Zip | 11801-1403
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Country | US
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Telephone | 646-410-7906
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Fax |
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Provider Business Mailing Address
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Address Line | 12528 QUEENS BLVD STE 732
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City | KEW GARDENS
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State | NY
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Zip | 11415-1503
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRUCE M ZAGELBAUM
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Credential |
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Telephone | 646-410-7906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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