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General NPI Number Information
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NPI Number | 1659474864
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Entity Type | Individual
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Provider Name | LEON L CAI O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 4125 KISSENA BLVD 104
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City | FLUSHING
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State | NY
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Zip | 11355-3150
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Country | US
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Telephone | 718-358-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 284 JERICHO TPKE
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City | MINEOLA
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State | NY
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Zip | 11501-1609
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Country | US
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Telephone | 718-358-5888
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Fax | 718-358-0005
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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 | UVT005773
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License Number State | NY
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