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General NPI Number Information
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NPI Number | 1619318797
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Entity Type | Organization
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Legal Business Name | HUDSON RIVER OPTOMETRY PLLC
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 4 N BROADWAY
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City | TARRYTOWN
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State | NY
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Zip | 10591-3202
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Country | US
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Telephone | 917-693-9678
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Fax |
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Provider Business Mailing Address
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Address Line | 4 N BROADWAY
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City | TARRYTOWN
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State | NY
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Zip | 10591-3202
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Country | US
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Telephone | 914-332-4074
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | LARAH A ALAMI
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Credential | O.D.
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Telephone | 914-332-4074
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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 | TUV007054
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License Number State | NY
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