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General NPI Number Information
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NPI Number | 1487810198
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Entity Type | Organization
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Legal Business Name | FRENCH OPTICAL FASHION II, INC.
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 08/01/2008
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Provider Practice Location Address
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Address Line | 21902 NORTHERN BLVD
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City | BAYSIDE
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State | NY
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Zip | 11361-3574
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Country | US
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Telephone | 718-281-3136
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Fax | 718-281-3137
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Provider Business Mailing Address
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Address Line | 219-02 NORTHERN BLVD.
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City | BAYSIDE
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State | NY
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Zip | 11361
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Country | US
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Telephone | 718-281-3136
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Fax | 718-281-3137
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MYONGWOON MARILYN YANG
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Credential | O.D.
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Telephone | 718-281-3136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | TUV005353-1
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License Number State | NY
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