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General NPI Number Information
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NPI Number | 1437841681
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Entity Type | Organization
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Legal Business Name | NAMDAR OPTOMETRY PC
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 10 BROWER AVE
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City | WOODMERE
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State | NY
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Zip | 11598-1703
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Country | US
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Telephone | 718-327-0048
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Fax | 347-757-4165
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Provider Business Mailing Address
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Address Line | 10 BROWER AVE
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City | WOODMERE
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State | NY
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Zip | 11598-1703
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Country | US
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Telephone | 718-327-0048
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Fax | 347-757-4165
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Authorized Official
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Title or Position | OWNER
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Name | BRACHA NAMDAR
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Credential |
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Telephone | 914-552-5945
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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 |
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License Number State |
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