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General NPI Number Information
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NPI Number | 1821419870
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Entity Type | Organization
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Legal Business Name | YORKVILLE OPTICAL CORP.
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 210 E 86TH ST
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City | NEW YORK
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State | NY
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Zip | 10028-3003
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Country | US
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Telephone | 212-717-2780
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Fax | 212-717-2782
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Provider Business Mailing Address
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Address Line | 210 E 86TH ST
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City | NEW YORK
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State | NY
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Zip | 10028-3003
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Country | US
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Telephone | 212-717-2780
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL M RUVIO
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Credential | DO
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Telephone | 212-717-2780
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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 |
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License Number State |
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