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General NPI Number Information
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NPI Number | 1639342850
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Entity Type | Organization
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Legal Business Name | MENDEL OPTICAL INSIGHT INC.
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 19A RYE RIDGE PLZ
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City | RYE BROOK
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State | NY
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Zip | 10573-2822
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Country | US
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Telephone | 914-939-2224
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Fax | 914-939-4382
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Provider Business Mailing Address
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Address Line | 19A RYE RIDGE PLZ
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City | RYE BROOK
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State | NY
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Zip | 10573-2822
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Country | US
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Telephone | 914-939-2224
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Fax | 914-939-4382
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Authorized Official
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Title or Position | OWNER OPTOMETRIST
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Name | DR. HAL R MENDEL
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Credential | OD
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Telephone | 914-939-2224
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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 | NY3275
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License Number State | NY
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