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General NPI Number Information
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NPI Number | 1740823863
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Entity Type | Organization
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Legal Business Name | OCULAR HOLDINGS LLC
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 512 W 29TH ST
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City | NEW YORK
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State | NY
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Zip | 10001-1308
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Country | US
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Telephone | 703-395-4411
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Fax |
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Provider Business Mailing Address
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Address Line | 400 5TH AVE APT 37F
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City | NEW YORK
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State | NY
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Zip | 10018-5946
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Country | US
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Telephone | 703-395-4411
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JENNIFER TSAI
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Credential | OD
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Telephone | 703-395-4411
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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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