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General NPI Number Information
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NPI Number | 1891136552
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Entity Type | Organization
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Legal Business Name | HARMON OPTICAL CORP.
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 205 E 64TH ST SUITE 101
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City | NEW YORK
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State | NY
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Zip | 10065-6635
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Country | US
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Telephone | 212-888-4100
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Fax | 212-888-4111
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Provider Business Mailing Address
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Address Line | 205 E 64TH ST SUITE 101
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City | NEW YORK
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State | NY
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Zip | 10065-6635
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Country | US
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Telephone | 212-888-4100
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Fax | 212-888-4111
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY KEITH HARMON
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Credential | M.D.
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Telephone | 212-888-4100
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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 | 155183
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License Number State | NY
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