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General NPI Number Information
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NPI Number | 1477027712
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Entity Type | Organization
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Legal Business Name | DB OPTICAL LLC
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Dates
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Enumeration Date | 01/21/2019
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Last Update Date | 01/21/2019
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Provider Practice Location Address
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Address Line | 7 BACKUS AVE
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City | DANBURY
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State | CT
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Zip | 06810-7422
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Country | US
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Telephone | 203-790-1341
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Fax | 203-790-5052
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Provider Business Mailing Address
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Address Line | 7 BACKUS AVE
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City | DANBURY
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State | CT
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Zip | 06810-7422
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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 | PRESIDENT
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Name | JEFFREY COHEN
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Credential |
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Telephone | 212-729-5393
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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 |
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License Number State |
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