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General NPI Number Information
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NPI Number | 1356583967
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Entity Type | Organization
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Legal Business Name | ANALAB OPTOMETRY PC
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 822 ROUTE 82
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-7373
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Country | US
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Telephone | 845-227-6737
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Fax | 845-227-6751
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Provider Business Mailing Address
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Address Line | 822 ROUTE 82
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-7373
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Country | US
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Telephone | 845-227-6737
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Fax | 845-227-6751
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN L COHEN
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Credential | O.D.
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Telephone | 845-227-6737
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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 | VUT005552-1
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License Number State | NY
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