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General NPI Number Information
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NPI Number | 1336605229
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Entity Type | Organization
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Legal Business Name | LLAMBIRI OPTOMETRIC EYE CARE PLLC
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 3850 HEMPSTEAD TURNPIKE ATTENTION: TARGET OPTICAL
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City | LEVITTOWN
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State | NY
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Zip | 11735-1173
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Country | US
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Telephone | 830-357-0736
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Fax |
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Provider Business Mailing Address
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Address Line | 10 HEARTHSTONE CT
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City | FARMINGDALE
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State | NY
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Zip | 11735-3654
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Country | US
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Telephone | 347-216-1348
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DHIMITER LLAMBIRI
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Credential | OD
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Telephone | 347-216-1348
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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 |
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License Number State |
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