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General NPI Number Information
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NPI Number | 1790868271
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Entity Type | Individual
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Provider Name | JOSEPH A. PRESTI OD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 40 25 JUNCTION BLVD
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City | CORONA
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State | NY
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Zip | 11368-2123
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Country | US
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Telephone | 718-457-0400
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Fax | 718-458-8023
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Provider Business Mailing Address
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Address Line | 4025 JUNCTION BLVD
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City | FLUSHING
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State | NY
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Zip | 11368-2123
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Country | US
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Telephone | 718-457-0400
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Fax | 718-458-8023
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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 | VUT003199
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License Number State | NY
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