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General NPI Number Information
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NPI Number | 1801966601
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Entity Type | Individual
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Provider Name | BARBARA HOPE KUZNESOF-KNEE O.D.
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 910 WOLCOTT ST. C/O WALMART VISION CENTER
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City | WATERBURY
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State | CT
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Zip | 06705
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Country | US
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Telephone | 203-759-1611
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Fax | 203-759-1707
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Provider Business Mailing Address
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Address Line | 2 SHADY BROOK DR
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City | CROMWELL
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State | CT
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Zip | 06416
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Country | US
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Telephone | 860-635-5766
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Fax | 860-788-3055
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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 | 002095
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License Number State | CT
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