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General NPI Number Information
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NPI Number | 1255540472
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Entity Type | Organization
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Legal Business Name | LOPTIQUE LLC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 228 2ND AVE
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City | NEW YORK
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State | NY
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Zip | 10003-2703
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Country | US
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Telephone | 212-979-4630
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4112
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City | CLIFTON
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State | NJ
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Zip | 07012-8112
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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 | MANAGER
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Name | JAMES TAPIA
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Credential |
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Telephone | 212-979-4630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 007425
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License Number State | NY
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