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General NPI Number Information
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NPI Number | 1760758171
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Entity Type | Organization
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Legal Business Name | REYES OPTICA INC.
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 1571 SAINT NICHOLAS AVE
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City | NEW YORK
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State | NY
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Zip | 10040-4261
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Country | US
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Telephone | 212-542-3937
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Fax | 212-543-3932
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Provider Business Mailing Address
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Address Line | 1571 SAINT NICHOLAS AVE
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City | NEW YORK
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State | NY
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Zip | 10040-4261
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Country | US
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Telephone | 212-542-3937
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Fax | 212-543-3932
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GUILLERMO Y REYES
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Credential | LICENSED OPTICIAN
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Telephone | 917-923-0792
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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 | 007379-1
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License Number State | NY
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