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General NPI Number Information
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NPI Number | 1538434345
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Entity Type | Organization
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Legal Business Name | ERCL INC
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Dates
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Enumeration Date | 03/12/2012
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Last Update Date | 06/13/2014
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Provider Practice Location Address
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Address Line | 3626 E TREMONT AVE SUITE 201
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City | BRONX
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State | NY
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Zip | 10465-2030
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Country | US
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Telephone | 347-293-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 3626 E TREMONT AVE SUITE 201
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City | BRONX
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State | NY
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Zip | 10465-2030
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. CLAUDETTE LOMONACO
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Credential | OD
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Telephone | 347-293-8585
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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 | 006446
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License Number State | NY
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