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General NPI Number Information
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NPI Number | 1265653174
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Entity Type | Individual
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Provider Name | SCOTT ADAM GARBOWITZ O.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 75 W ROUTE 59 224 NANUET MALL
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City | NANUET
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State | NY
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Zip | 10954-2700
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Country | US
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Telephone | 845-627-2411
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Fax | 845-627-6456
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Provider Business Mailing Address
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Address Line | 26 TIMBERLINE DR
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City | NANUET
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State | NY
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Zip | 10954-3809
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Country | US
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Telephone | 845-627-2411
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Fax | 845-627-6456
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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 | NY5843
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License Number State | NY
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