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General NPI Number Information
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NPI Number | 1649901307
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Entity Type | Organization
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Legal Business Name | LITTLE NECK EYECARE CENTER LLC
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 24910 HORACE HARDING EXPY
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City | LITTLE NECK
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State | NY
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Zip | 11362-2050
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Country | US
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Telephone | 585-888-3230
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Fax | 585-888-3222
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Provider Business Mailing Address
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Address Line | 18015 64TH AVE
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-2101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOI FONG LI
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Credential | OD
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Telephone | 347-351-2382
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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 |
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License Number State |
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