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General NPI Number Information
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NPI Number | 1578628301
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Entity Type | Individual
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Provider Name | DAVID STUART ORENSTEIN OD
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Gender | Male
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3603 162 ST
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City | FLUSHING
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State | NY
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Zip | 11358
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Country | US
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Telephone | 718-353-1220
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Fax | 718-460-1769
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Provider Business Mailing Address
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Address Line | 7108 147 ST
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City | FLUSHING
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State | NY
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Zip | 11367-2004
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Country | US
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Telephone | 718-261-6512
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Fax | 718-460-1769
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3777
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License Number State | NY
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