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General NPI Number Information
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NPI Number | 1871164194
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Entity Type | Organization
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Legal Business Name | NYC VISION CAPITAL INC
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 2264 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10024-5403
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Country | US
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Telephone | 347-894-1424
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Fax |
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Provider Business Mailing Address
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Address Line | 6803 KENNEDY BLVD E APT 45
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City | GUTTENBERG
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State | NJ
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Zip | 07093-4510
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Country | US
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Telephone | 347-894-1424
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELIE ISLAM
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Credential | OD
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Telephone | 347-894-1424
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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 |
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License Number State |
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Taxonomy #2
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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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