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General NPI Number Information
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NPI Number | 1427691914
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Entity Type | Organization
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Legal Business Name | PREFERRED OPTICAL LTD
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Dates
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Enumeration Date | 10/28/2019
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Last Update Date | 10/28/2019
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Provider Practice Location Address
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Address Line | 9216A JAMAICA AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-2107
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Country | US
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Telephone | 347-475-0004
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Fax | 347-475-0439
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Provider Business Mailing Address
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Address Line | 9216A JAMAICA AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-2107
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Country | US
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Telephone | 347-475-0004
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Fax | 347-475-0439
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Authorized Official
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Title or Position | MANAGER
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Name | MR. DAVID NAZGINOV
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Credential |
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Telephone | 347-285-9661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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