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General NPI Number Information
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NPI Number | 1285816538
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Entity Type | Organization
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Legal Business Name | THE SURGERY FACILITY AT CHELSEA EYE
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 157 W 19TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-4102
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Country | US
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Telephone | 212-727-3717
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Fax | 212-727-3789
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Provider Business Mailing Address
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Address Line | 157 W 19TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-4102
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Country | US
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Telephone | 212-727-3717
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Fax | 212-727-3789
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MRS. NANCY PAGAN-SINGLE
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Credential |
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Telephone | 212-727-3717
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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 | NY
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