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General NPI Number Information
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NPI Number | 1740513472
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Entity Type | Organization
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Legal Business Name | TWENTY20 EYECARE AND AESTHETIC OCULOPLASTIC MEDICINE, PLLC
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 410 ELMWOOD AVE
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City | BUFFALO
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State | NY
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Zip | 14222-2210
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Country | US
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Telephone | 716-462-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 410 ELMWOOD AVE
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City | BUFFALO
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State | NY
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Zip | 14222-2210
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Country | US
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Telephone | 716-462-5437
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Fax | 888-511-0393
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Authorized Official
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Title or Position | OWNER
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Name | DR. MELISSA A. L. NEAL
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Credential | M.D.
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Telephone | 716-880-6521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number | 241552
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License Number State | NY
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