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General NPI Number Information
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NPI Number | 1831683648
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Entity Type | Individual
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Provider Name | ALEXANDRA RUTH SCHERK OD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 310 E SHORE RD STE 102
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City | GREAT NECK
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State | NY
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Zip | 11023-2432
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Country | US
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Telephone | 516-466-8989
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Fax | 516-466-8962
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Provider Business Mailing Address
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Address Line | 215 E 95TH ST APT 17B
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City | NEW YORK
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State | NY
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Zip | 10128-0249
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Country | US
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Telephone | 516-375-7910
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Fax |
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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 | TUV008796-1
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License Number State | NY
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