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General NPI Number Information
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NPI Number | 1619642378
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Entity Type | Individual
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Provider Name | SARAH J PHEN OD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 211 MCGUINNESS BLVD STE 1
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City | BROOKLYN
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State | NY
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Zip | 11222-6787
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Country | US
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Telephone | 954-298-5841
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Fax |
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Provider Business Mailing Address
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Address Line | 166 ELIZABETH ST
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City | NEW YORK
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State | NY
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Zip | 10012-4628
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Country | US
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Telephone | 954-298-5841
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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 | 009430
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License Number State | NY
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