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General NPI Number Information
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NPI Number | 1659189421
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Entity Type | Organization
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Legal Business Name | MICHAEL ALLEN OPTICIANS INC
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Dates
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Enumeration Date | 12/24/2024
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 7948 JERICHO TURNPIKE
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City | WOODBURY
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State | NY
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Zip | 11797
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Country | US
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Telephone | 516-364-1288
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Fax | 516-714-8600
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Provider Business Mailing Address
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Address Line | 7948 JERICHO TURNPIKE
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City | WOODBURY
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State | NY
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Zip | 11797
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Country | US
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Telephone | 516-364-1288
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Fax | 516-714-8600
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Authorized Official
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Title or Position | OWNER/OPTICIAN
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Name | MR. MICHAEL A KWARTNER
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Credential |
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Telephone | 516-364-1288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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