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General NPI Number Information
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NPI Number | 1831531524
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Entity Type | Organization
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Legal Business Name | KAI JING MAI OD PLLC
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 13302 41ST AVE SUITE B
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City | FLUSHING
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State | NY
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Zip | 11355-5874
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Country | US
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Telephone | 718-874-3088
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Fax | 718-874-2022
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Provider Business Mailing Address
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Address Line | 133-02 41TH AVENUE SUITE B
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-874-3088
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Fax | 718-874-2022
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Authorized Official
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Title or Position | MEMBER
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Name | DR. KAI JING MAI
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Credential | O.D
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Telephone | 718-874-3088
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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 | TUV006574
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License Number State | NY
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