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General NPI Number Information
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NPI Number | 1740009463
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Entity Type | Organization
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Legal Business Name | VANESSA BEDOYA OPTOMETRIST, P.C.
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 157 POST AVE
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City | WESTBURY
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State | NY
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Zip | 11590-3460
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Country | US
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Telephone | 516-761-1738
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Fax |
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Provider Business Mailing Address
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Address Line | 737 HIGHVIEW AVE
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City | WESTBURY
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State | NY
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Zip | 11590-6401
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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 | PRESIDENT
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Name | VANESSA BEDOYA
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Credential | OD
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Telephone | 516-761-1738
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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 |
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License Number State |
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