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General NPI Number Information
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NPI Number | 1447380050
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Entity Type | Organization
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Legal Business Name | TWILIGHT OPTICAL INC.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 660 STEWART AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4708
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Country | US
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Telephone | 516-745-0737
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Fax | 516-745-1514
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Provider Business Mailing Address
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Address Line | 660 STEWART AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4708
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Country | US
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Telephone | 516-745-0737
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Fax | 516-745-1514
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. LEE FREUNDLICH
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Credential | O.D.
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Telephone | 516-745-0737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | T004122-1
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License Number State | NY
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