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General NPI Number Information
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NPI Number | 1790753069
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Entity Type | Individual
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Provider Name | WILLIAM KWIK O.D.
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 6421 W QUAKER ST
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City | ORCHARD PARK
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State | NY
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Zip | 14127-2354
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Country | US
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Telephone | 716-662-4525
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Fax | 716-662-4138
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Provider Business Mailing Address
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Address Line | 6421 W QUAKER ST
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City | ORCHARD PARK
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State | NY
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Zip | 14127-2354
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Country | US
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Telephone | 585-281-0321
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Fax | 585-486-1766
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | VUT006383
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License Number State | NY
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