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General NPI Number Information
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NPI Number | 1508900242
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Entity Type | Organization
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Legal Business Name | DUTCHESS OPTOMETRY, LLP
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 7381 S BROADWAY
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City | RED HOOK
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State | NY
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Zip | 12571-1745
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Country | US
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Telephone | 845-758-8818
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Fax | 845-758-9215
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Provider Business Mailing Address
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Address Line | 7381 S BROADWAY
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City | RED HOOK
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State | NY
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Zip | 12571-1745
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Country | US
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Telephone | 845-758-8818
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Fax | 845-758-9215
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Authorized Official
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Title or Position | OWNER PARTNER
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Name | DR. JAMES G CAYEA
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Credential | O.D.
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Telephone | 845-758-8818
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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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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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