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General NPI Number Information
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NPI Number | 1245461144
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Entity Type | Organization
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Legal Business Name | FLATBUSH EXPRESS OPTICAL, INC
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | 860 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11226-3102
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Country | US
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Telephone | 718-282-4777
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Fax |
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Provider Business Mailing Address
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Address Line | 860 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11226-3102
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Country | US
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Telephone | 718-282-4777
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. YELENA ANOSHINA
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Credential |
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Telephone | 718-757-6646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FC0800X
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Taxonomy Name | Contact Lens Technician/Technologist
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License Number |
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License Number State |
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