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General NPI Number Information
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NPI Number | 1609025014
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Entity Type | Organization
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Legal Business Name | DR AARON MANDEL
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 09/10/2008
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Provider Practice Location Address
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Address Line | 228 LIVINGSTON ST
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City | BROOKLYN
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State | NY
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Zip | 11201-5859
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Country | US
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Telephone | 718-625-2137
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Fax | 718-875-8080
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Provider Business Mailing Address
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Address Line | 228 LIVINGSTON ST
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City | BROOKLYN
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State | NY
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Zip | 11201-5859
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Country | US
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Telephone | 718-625-2137
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Fax | 718-875-8080
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Authorized Official
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Title or Position | OWNER
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Name | DR. AARON MANDEL
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Credential | O. D.
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Telephone | 718-625-2137
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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