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General NPI Number Information
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NPI Number | 1275860413
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Entity Type | Organization
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Legal Business Name | 101 LASIK SURGICAL GROUP
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 11/09/2009
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Provider Practice Location Address
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Address Line | 101 PARK AVE PLAZA LEVEL
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City | NEW YORK
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State | NY
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Zip | 10178-0002
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Country | US
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Telephone | 212-697-0202
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Fax | 212-697-0769
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Provider Business Mailing Address
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Address Line | 101 PARK AVE PLAZA LEVEL
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City | NEW YORK
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State | NY
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Zip | 10178-0002
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Country | US
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Telephone | 212-697-0202
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Fax | 212-697-0769
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Authorized Official
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Title or Position | CEO
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Name | MR. DAVID G HAY
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Credential |
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Telephone | 212-505-6550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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