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General NPI Number Information
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NPI Number | 1891829610
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Entity Type | Individual
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Provider Name | CHI WAI TONY MUI O.D.
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Gender | Male
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 01/21/2023
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Provider Practice Location Address
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Address Line | 158 CANAL ST
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City | NEW YORK
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State | NY
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Zip | 10013-4501
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Country | US
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Telephone | 212-227-2978
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Fax | 212-227-2971
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Provider Business Mailing Address
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Address Line | 158 CANAL ST
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City | NEW YORK
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State | NY
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Zip | 10013-4501
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Country | US
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Telephone | 212-227-2978
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Fax | 212-227-2971
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | NY TUV006116-1
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License Number State | NY
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