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General NPI Number Information
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NPI Number | 1588961643
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Entity Type | Organization
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Legal Business Name | SPECS OPTICAL INC
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | ROUTE 6, A & P PLAZA
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City | CARMEL
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State | NY
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Zip | 10512-0000
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Country | US
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Telephone | 845-225-1617
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Fax | 845-225-5746
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Provider Business Mailing Address
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Address Line | ROUTE 6 A & P PLAZA
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City | CARMEL
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State | NY
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Zip | 10547-0000
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Country | US
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Telephone | 845-225-1617
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Fax | 845-225-5746
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JOEL J FEINTUCH
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Credential | D.O.
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Telephone | 845-225-1617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | T004280-1
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License Number State | NY
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