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General NPI Number Information
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NPI Number | 1407150170
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Entity Type | Organization
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Legal Business Name | HEUER OPTICAL
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 101 E 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-4601
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Country | US
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Telephone | 212-679-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 101 E 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-4601
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | XIAO CHING
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Credential | OPT
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Telephone | 212-679-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 0085391
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License Number State | NY
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