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General NPI Number Information
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NPI Number | 1396205282
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Entity Type | Organization
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Legal Business Name | WHITE PLAINS EYE CARE 1 INC
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 03/25/2019
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Provider Practice Location Address
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Address Line | 15 N BROADWAY
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City | WHITE PLAINS
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State | NY
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Zip | 10601-2214
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Country | US
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Telephone | 914-732-1732
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Fax | 718-504-4960
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Provider Business Mailing Address
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Address Line | 598 TUCKAHOE RD
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City | YONKERS
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State | NY
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Zip | 10710-5713
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Country | US
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Telephone | 914-337-7775
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Fax | 718-504-4960
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC RUBINFELD
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Credential | OD
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Telephone | 805-280-1776
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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 |
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License Number State |
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