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General NPI Number Information
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NPI Number | 1740219096
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Entity Type | Individual
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Provider Name | ROBERT PHILLIP KAPLAN OPHTHALMIC DISPENSER
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13809 QUEENS BLVD
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City | JAMAICA
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State | NY
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Zip | 11435-2641
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Country | US
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Telephone | 718-739-6507
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Fax | 718-523-7466
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Provider Business Mailing Address
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Address Line | 6126 220TH ST OAKLAND GARDENS
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-2245
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Country | US
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Telephone | 718-229-8997
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Fax | 718-523-7466
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | C004661-1
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License Number State | NY
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