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General NPI Number Information
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NPI Number | 1497125199
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Entity Type | Individual
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Provider Name | AIDEN CWYNAR O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1 HATFIELD LN STE 3
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City | GOSHEN
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State | NY
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Zip | 10924-6753
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Country | US
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Telephone | 845-294-5128
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Fax | 845-294-1479
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Provider Business Mailing Address
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Address Line | 1 HATFIELD LN STE 3
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City | GOSHEN
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State | NY
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Zip | 10924-6753
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Country | US
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Telephone | 845-294-5128
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Fax | 845-294-1479
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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 | TUV008692
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License Number State | NY
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