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General NPI Number Information
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NPI Number | 1346730256
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Entity Type | Organization
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Legal Business Name | FELICE DEE LLC
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 05/16/2018
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Provider Practice Location Address
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Address Line | 1305 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10021-5663
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Country | US
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Telephone | 212-717-7062
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Fax |
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Provider Business Mailing Address
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Address Line | 129 E 69TH ST APT 10A
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City | NEW YORK
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State | NY
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Zip | 10021-5041
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AMANDA MUCHNICK
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Credential |
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Telephone | 212-717-7062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | NY
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