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General NPI Number Information
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NPI Number | 1336454495
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Entity Type | Organization
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Legal Business Name | ADVANCE SIGHT EYECARE MEDICAL PC
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 128 MOTT ST SUITE 303
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City | NEW YORK
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State | NY
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Zip | 10013-5540
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Country | US
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Telephone | 212-966-7583
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Fax | 212-966-7582
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Provider Business Mailing Address
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Address Line | PO BOX 1336
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City | BRONX
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State | NY
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Zip | 10475-0962
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Country | US
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Telephone | 212-966-7583
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Fax | 212-966-7582
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ANDREW NAING
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Credential | M.D.
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Telephone | 212-966-7583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 213366
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License Number State | NY
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