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General NPI Number Information
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NPI Number | 1285683185
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Entity Type | Organization
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Legal Business Name | JAFFEE OPHTHALMOLOGY, PLLC
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 1 RYKOWSKI LN
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City | MIDDLETOWN
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State | NY
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Zip | 10941-4019
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Country | US
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Telephone | 845-692-3937
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Fax | 845-692-5259
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Provider Business Mailing Address
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Address Line | 1 RYKOWSKI LN
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City | MIDDLETOWN
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State | NY
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Zip | 10941-4019
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Country | US
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Telephone | 845-692-3937
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Fax | 845-692-5259
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT MARC JAFFEE
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Credential | MD
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Telephone | 845-692-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 130811
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License Number State | NY
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