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General NPI Number Information
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NPI Number | 1447301080
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Entity Type | Organization
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Legal Business Name | DR HOWARD J KASS
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 6438 BASILE ROWE BOX 57
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-3900
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Country | US
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Telephone | 315-434-9168
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Fax | 315-295-2522
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Provider Business Mailing Address
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Address Line | 6438 BASILE ROWE PO BOX 57
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-3900
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Country | US
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Telephone | 315-434-9168
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Fax | 315-295-2522
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. HOWARD J KASS
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Credential | OD
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Telephone | 315-434-9168
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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 | TUV003150
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License Number State | NY
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