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General NPI Number Information
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NPI Number | 1770957193
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Entity Type | Organization
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Legal Business Name | TOMASINI OPTOMETRY PC
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 313 FULLERTON AVE
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City | NEWBURGH
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State | NY
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Zip | 12550-3723
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Country | US
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Telephone | 845-561-2970
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Fax |
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Provider Business Mailing Address
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Address Line | 19 MELODY LN
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City | HARRIMAN
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State | NY
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Zip | 10926-3001
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Country | US
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Telephone | 914-980-3089
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DAWN TOMASINI
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Credential | OD
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Telephone | 914-980-3089
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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 | TUV006124
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License Number State | NY
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