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General NPI Number Information
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NPI Number | 1497163687
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Entity Type | Organization
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Legal Business Name | THE ART OF EYEWEAR II,INC
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 6-19 FAIR LAWN AVE
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City | FAIR LAWN
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State | NJ
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Zip | 07410-1226
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Country | US
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Telephone | 201-703-9047
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Fax |
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Provider Business Mailing Address
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Address Line | 6-19 FAIR LAWN AVE
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City | FAIR LAWN
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State | NJ
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Zip | 07410-1226
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Country | US
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Telephone | 201-703-9047
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BENJAMIN RUBINSTEIN
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Credential | OPTHALMIC DISPENSER
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Telephone | 201-703-9047
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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 | D658
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License Number State | NJ
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