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General NPI Number Information
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NPI Number | 1538343363
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Entity Type | Organization
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Legal Business Name | ALEC PERLSON OD
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 26 S GREELEY AVE
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3332
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Country | US
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Telephone | 914-238-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 26 S GREELEY AVE
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3332
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Country | US
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Telephone | 914-238-3030
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Fax |
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Authorized Official
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Title or Position | O.D.
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Name | ALEC PERLSON
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Credential |
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Telephone | 914-238-3030
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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 | TUV003123-1
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License Number State | NY
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