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General NPI Number Information
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NPI Number | 1578750253
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Entity Type | Organization
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Legal Business Name | LEWIS A. OPLER, M.D., PH.D., P.C.
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 765 GRAMATAN AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10552-1043
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Country | US
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Telephone | 914-668-4799
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Fax | 914-668-4814
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Provider Business Mailing Address
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Address Line | 765 GRAMATAN AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10552-1043
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Country | US
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Telephone | 914-668-4799
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Fax | 914-668-4814
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEWIS A OPLER
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Credential | M.D.
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Telephone | 914-629-1605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 132792
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License Number State | NY
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