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General NPI Number Information
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NPI Number | 1316260888
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Entity Type | Organization
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Legal Business Name | REK QUEENS OPTICAL CENTER INC
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 8233 164TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-1120
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Country | US
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Telephone | 718-969-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 8233 164TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-1120
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Country | US
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Telephone | 718-969-2020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENNETH SCHRIER
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Credential | OD
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Telephone | 718-263-6754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 007226-1
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License Number State |
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