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General NPI Number Information
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NPI Number | 1770345498
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Entity Type | Organization
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Legal Business Name | NY CLEAR OPTOMETRY EYE CARE PC
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 7817 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-3712
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Country | US
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Telephone | 718-748-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 130 BAY 10TH ST FL 2
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City | BROOKLYN
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State | NY
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Zip | 11228-3702
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Country | US
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Telephone | 631-408-8905
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Fax |
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Authorized Official
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Title or Position | OD
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Name | TAISIR HAMOUDA
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Credential | OD
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Telephone | 631-408-8905
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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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