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General NPI Number Information
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NPI Number | 1386763183
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Entity Type | Organization
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Legal Business Name | WHITE PLAINS EYE SURGERY
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 75 LINDA AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10605
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Country | US
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Telephone | 914-681-0900
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Fax | 914-681-9201
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Provider Business Mailing Address
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Address Line | 75 LINDA AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10605
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Country | US
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Telephone | 914-681-0900
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Fax | 914-681-9201
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Authorized Official
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Title or Position | MD PRESIDENT
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Name | KRISTIN PISACANO
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Credential | MD
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Telephone | 914-681-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | NY
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