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General NPI Number Information
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NPI Number | 1447956180
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Entity Type | Individual
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Provider Name | NATHANIEL HAROONI OD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1571 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10472-2912
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Country | US
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Telephone | 347-702-7874
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Fax |
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Provider Business Mailing Address
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Address Line | 485 E SHORE RD
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City | GREAT NECK
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State | NY
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Zip | 11024-1542
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Country | US
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Telephone |
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Fax |
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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 | 009720
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | TUV009720
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV009720
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License Number State | NY
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