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General NPI Number Information
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NPI Number | 1316292840
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Entity Type | Organization
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Legal Business Name | VISUAL AFFAIR LLC
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Dates
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Enumeration Date | 07/20/2012
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 7933 JERICHO TPKE
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City | WOODBURY
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State | NY
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Zip | 11797-1210
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Country | US
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Telephone | 516-921-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 7933 JERICHO TPKE
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City | WOODBURY
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State | NY
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Zip | 11797-1210
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Country | US
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Telephone | 516-921-3937
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. FILOMENA ROSANO FIORE
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Credential | OD
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Telephone | 516-921-3937
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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 | VUT 005075
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License Number State | NY
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