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General NPI Number Information
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NPI Number | 1528657350
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Entity Type | Organization
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Legal Business Name | R & R OPTICAL VISION LLC
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Dates
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Enumeration Date | 01/15/2021
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Last Update Date | 01/15/2021
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Provider Practice Location Address
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Address Line | 5284 SUNRISE HWY
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-2907
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Country | US
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Telephone | 516-795-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 5284 SUNRISE HWY
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-2907
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Country | US
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Telephone | 516-795-3030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROMAN RAKHIMOV
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Credential |
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Telephone | 516-795-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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