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General NPI Number Information
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NPI Number | 1639353683
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Entity Type | Organization
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Legal Business Name | DR. DAVID ORENSTEIN
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 3603 162ND ST
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City | FLUSHING
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State | NY
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Zip | 11358-1610
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Country | US
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Telephone | 718-353-1220
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Fax | 718-460-1769
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Provider Business Mailing Address
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Address Line | 7108 147TH ST
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City | FLUSHING
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State | NY
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Zip | 11367-2004
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Country | US
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Telephone | 718-353-1220
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Fax | 718-460-1769
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. DAVID ORENSTEIN
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Credential | O.D
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Telephone | 718-353-1220
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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 | TUV003777
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License Number State | NY
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