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General NPI Number Information
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NPI Number | 1437338266
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Entity Type | Individual
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Provider Name | ROBERT N SAIDEL OD
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Gender | Male
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 04/24/2009
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Provider Practice Location Address
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Address Line | 181 E MAIN ST
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City | GOUVERNEUR
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State | NY
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Zip | 13642-1552
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Country | US
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Telephone | 315-287-1644
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Fax | 315-287-4419
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Provider Business Mailing Address
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Address Line | 181 E MAIN ST PO BOX 326
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City | GOUVERNEUR
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State | NY
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Zip | 13642-1552
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Country | US
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Telephone | 315-287-1644
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Fax | 315-287-4419
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0003785
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | P017003785
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License Number State | NY
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