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General NPI Number Information
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NPI Number | 1245341841
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Entity Type | Organization
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Legal Business Name | HARBOR OPTICS INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 11310 BEACH CHANNEL DR
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-2209
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Country | US
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Telephone | 718-474-1234
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Fax | 718-945-5809
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Provider Business Mailing Address
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Address Line | 11310 BEACH CHANNEL DR
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-2209
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Country | US
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Telephone | 718-474-1234
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Fax | 718-945-5809
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Authorized Official
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Title or Position | SECRETARY
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Name | SCOTT DENARO
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Credential |
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Telephone | 718-474-1234
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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 | TUV002941-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV004492-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV007296-1
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License Number State | NY
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