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General NPI Number Information
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NPI Number | 1598099335
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Entity Type | Individual
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Provider Name | ELIZABETH M. KARDOS O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2009
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 72 MOTT ST
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City | NEW YORK
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State | NY
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Zip | 10013-6500
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Country | US
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Telephone | 201-446-9403
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Fax |
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Provider Business Mailing Address
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Address Line | 14 JOHN CIR
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City | NORWOOD
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State | NJ
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Zip | 07648-1705
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Country | US
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Telephone | 201-446-9403
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Fax |
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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 | 27OA00623100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 007472
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License Number State | NY
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