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General NPI Number Information
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NPI Number | 1881117885
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Entity Type | Organization
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Legal Business Name | OVATION EYE CARE INC
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Dates
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Enumeration Date | 07/21/2017
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Last Update Date | 07/21/2017
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Provider Practice Location Address
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Address Line | 13620 38TH AVE STE 7D
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City | FLUSHING
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State | NY
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Zip | 11354-4232
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Country | US
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Telephone | 646-279-3053
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Fax |
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Provider Business Mailing Address
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Address Line | 13620 38TH AVE STE 7D
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City | FLUSHING
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State | NY
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Zip | 11354-4232
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAT-WAI MICHAEL HO
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Credential | O.D.
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Telephone | 646-279-6053
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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 |
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License Number State |
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