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General NPI Number Information
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NPI Number | 1639518202
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Entity Type | Individual
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Provider Name | DAVID WASSERLAUF O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 40 MAIN ST
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City | MONSEY
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State | NY
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Zip | 10952-3009
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Country | US
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Telephone | 845-385-9500
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Fax | 845-352-5092
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Provider Business Mailing Address
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Address Line | 9-01 SADDLE RIVER RD
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City | FAIR LAWN
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State | NJ
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Zip | 07410-5717
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Country | US
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Telephone | 347-558-3413
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Fax | 845-352-5092
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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 | 27OA00692300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 008002
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License Number State | NY
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