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General NPI Number Information
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NPI Number | 1285924779
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Entity Type | Individual
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Provider Name | JOLIE ALICIA KIRTINITIS-TURKMEN O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 6545 MYRTLE AVE
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City | GLENDALE
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State | NY
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Zip | 11385-7028
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Country | US
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Telephone | 718-366-7850
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Fax | 718-366-7851
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Provider Business Mailing Address
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Address Line | 190 ROCKCREST RD
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City | MANHASSET
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State | NY
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Zip | 11030-3735
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Country | US
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Telephone | 516-627-7637
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Fax | 516-627-7637
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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 | TUV005662-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA1314
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License Number State | MD
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