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General NPI Number Information
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NPI Number | 1740430941
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Entity Type | Individual
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Provider Name | GEORGE ZIKOS O.D
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Gender | Male
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 133 E 54TH ST STE 200
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City | NEW YORK
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State | NY
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Zip | 10022-4538
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Country | US
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Telephone | 212-650-4888
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Fax | 212-452-9009
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Provider Business Mailing Address
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Address Line | 133 E 54TH ST RM 200
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City | NEW YORK
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State | NY
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Zip | 10022-4538
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Country | US
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Telephone | 212-650-4888
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Fax | 212-452-9009
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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 | TUV006324
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License Number State | NY
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