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General NPI Number Information
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NPI Number | 1356578983
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Entity Type | Organization
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Legal Business Name | LADOTA OPTOMETRY, PC
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | 448 DELAWARE ST
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City | TONAWANDA
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State | NY
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Zip | 14150-3944
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Country | US
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Telephone | 716-695-2024
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Fax |
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Provider Business Mailing Address
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Address Line | 245 WOODRIDGE AVE
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-1547
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Country | US
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Telephone | 716-531-1283
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF OPTOMETRY
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Name | DR. ANTHONY P LADOTA
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Credential | OD
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Telephone | 716-531-1283
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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 | TUV006986
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License Number State | NY
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