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General NPI Number Information
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NPI Number | 1467476036
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Entity Type | Organization
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Legal Business Name | ERIC R. MANDEL M.D P.C.
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 211 E 70TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-5205
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Country | US
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Telephone | 212-734-0111
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Fax | 212-628-2515
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Provider Business Mailing Address
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Address Line | 211 E 70TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-5205
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Country | US
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Telephone | 212-734-0111
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Fax | 212-628-2515
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | LORI S MANDEL
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Credential |
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Telephone | 212-734-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 154604
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License Number State | NY
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