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General NPI Number Information
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NPI Number | 1669698684
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Entity Type | Individual
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Provider Name | CHRISTOPHER JAMES DIGIORGIO O.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1 INDUSTRIAL LN
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City | NEW ROCHELLE
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State | NY
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Zip | 10805-1203
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Country | US
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Telephone | 914-632-3826
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Fax |
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Provider Business Mailing Address
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Address Line | 50 COLUMBUS AVE 821
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City | TUCKAHOE
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State | NY
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Zip | 10707-2527
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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 |
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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 | TUV005311
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License Number State | NY
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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 | 1574
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License Number State | CO
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