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General NPI Number Information
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NPI Number | 1437180049
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Entity Type | Individual
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Provider Name | CAROL A LUNDIN MD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 24 SAW MILL RIVER ROAD HUDSON VALLEY EYE ASSOICATES
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City | HAWTHORNE
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State | NY
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Zip | 10532
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Country | US
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Telephone | 914-345-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 CENTRAL PARK AVE STE 409
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City | SCARSDALE
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State | NY
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Zip | 10583-3232
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Country | US
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Telephone | 914-723-2020
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Fax | 914-723-2011
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 167386
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License Number State | NY
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