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General NPI Number Information
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NPI Number | 1265075998
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Entity Type | Individual
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Provider Name | HALEY W FEIT O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 1085 NORTHERN BLVD
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City | ROSLYN
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State | NY
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Zip | 11576
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Country | US
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Telephone | 516-365-4066
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Fax |
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Provider Business Mailing Address
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Address Line | 60 RIDGE RD
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City | ALBERTSON
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State | NY
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Zip | 11507-1033
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Country | US
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Telephone | 516-484-7534
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Fax |
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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 | 009062
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License Number State | NY
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