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General NPI Number Information
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NPI Number | 1437456605
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Entity Type | Organization
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Legal Business Name | MAO CHANG VISION CENTER
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Dates
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Enumeration Date | 02/23/2011
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 72 MOTT ST
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City | NEW YORK
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State | NY
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Zip | 10013-6500
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Country | US
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Telephone | 212-267-8888
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Fax | 212-925-5939
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Provider Business Mailing Address
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Address Line | 72 MOTT ST
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City | NEW YORK
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State | NY
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Zip | 10013-6500
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Country | US
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Telephone | 212-267-8888
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Fax | 212-925-5939
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN YAU
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Credential |
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Telephone | 212-267-8888
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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 | 007529-1
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License Number State | NY
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