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General NPI Number Information
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NPI Number | 1871996504
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Entity Type | Individual
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Provider Name | PAUL ANTHONY BATTISTE JR. OPTICIAN
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Gender | Male
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Dates
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Enumeration Date | 10/08/2014
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Last Update Date | 10/08/2014
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Provider Practice Location Address
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Address Line | 67 8TH AVE
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City | NEW YORK
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State | NY
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Zip | 10014-1226
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Country | US
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Telephone | 212-627-3937
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Fax | 212-627-0174
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Provider Business Mailing Address
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Address Line | 67 8TH AVE
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City | NEW YORK
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State | NY
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Zip | 10014-1226
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Country | US
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Telephone | 212-627-3937
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Fax | 212-627-0174
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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 | 156FX1100X
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Taxonomy Name | Ophthalmic Technician/Technologist
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License Number | 55007837
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 55007837
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License Number State | NY
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