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General NPI Number Information
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NPI Number | 1861857856
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Entity Type | Organization
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Legal Business Name | EYE 42, INC
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Dates
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Enumeration Date | 12/18/2015
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Last Update Date | 12/18/2015
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Provider Practice Location Address
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Address Line | 225 W 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10122-0049
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Country | US
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Telephone | 212-239-6999
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Fax | 212-239-6996
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Provider Business Mailing Address
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Address Line | 225 W 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10122-0049
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Country | US
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Telephone | 212-239-6999
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Fax | 212-239-6996
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Authorized Official
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Title or Position | MGR
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Name | MR. ARTEM MUSHEYEV
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Credential |
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Telephone | 212-239-6999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | TUV0078351
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License Number State | NY
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