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General NPI Number Information
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NPI Number | 1770514366
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Entity Type | Organization
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Legal Business Name | RICHMOND HILL EYE CARE
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 52-21 LITTLE NECK PKWY
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City | LITTLE NECK
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State | NY
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Zip | 11362
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Country | US
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Telephone | 718-225-5656
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Fax | 718-225-4669
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Provider Business Mailing Address
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Address Line | 94-45 QUEENS BLVD
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City | REGO PARK
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State | NY
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Zip | 11374
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Country | US
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Telephone | 718-793-6600
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Fax | 718-225-4669
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Authorized Official
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Title or Position | PRESDIENT
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Name | MICHAEL A. BOXER
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Credential | M.D.
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Telephone | 718-793-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 143812
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License Number State | NY
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