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General NPI Number Information
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NPI Number | 1669640512
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Entity Type | Organization
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Legal Business Name | MEDICAL AND SURGICAL EYE SPECIALIST, PLLC
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 4235 MAIN ST 3D
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City | FLUSHING
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State | NY
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Zip | 11355-3956
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Country | US
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Telephone | 718-886-8318
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Fax | 929-667-7661
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Provider Business Mailing Address
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Address Line | 4235 MAIN ST 3D
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City | FLUSHING
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State | NY
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Zip | 11355-3956
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Country | US
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Telephone | 718-886-8318
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Fax | 718-559-4815
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Authorized Official
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Title or Position | MD
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Name | DR. RUMEI YUAN
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Credential |
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Telephone | 718-886-8318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 206272
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License Number State | NY
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