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General NPI Number Information
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NPI Number | 1720802804
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Entity Type | Organization
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Legal Business Name | PUMPKIN EYEWEAR CORP
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 2136 BARTOW AVE
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City | BRONX
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State | NY
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Zip | 10475-4630
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Country | US
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Telephone | 718-671-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 300 MERCER ST APT 24M
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City | NEW YORK
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State | NY
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Zip | 10003-6740
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Country | US
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Telephone | 845-304-4629
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW CHOAI
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Credential |
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Telephone | 845-304-4629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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