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General NPI Number Information
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NPI Number | 1386626307
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Entity Type | Organization
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Legal Business Name | HELEN KELLER SERVICES FOR THE BLIND
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 57 WILLOUGHBY ST
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City | BROOKLYN
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State | NY
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Zip | 11201-5290
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Country | US
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Telephone | 718-522-2122
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Fax | 718-935-9463
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Provider Business Mailing Address
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Address Line | 57 WILLOUGHBY ST
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City | BROOKLYN
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State | NY
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Zip | 11201-5290
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Country | US
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Telephone | 718-522-2122
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Fax | 718-935-9463
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | WILLIAM FRANCIS DALE
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Credential | MA
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Telephone | 516-485-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 7001202R
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License Number State | NY
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