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General NPI Number Information
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NPI Number | 1891930756
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Entity Type | Organization
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Legal Business Name | DUBIN OPTICAL PARTNERS
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Dates
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Enumeration Date | 12/06/2008
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Last Update Date | 12/06/2008
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Provider Practice Location Address
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Address Line | 16820 JAMAICA AVE
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City | JAMAICA
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State | NY
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Zip | 11432-5216
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Country | US
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Telephone | 718-739-5454
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Fax | 718-526-1818
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Provider Business Mailing Address
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Address Line | 16820 JAMAICA AVE
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City | JAMAICA
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State | NY
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Zip | 11432-5216
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Country | US
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Telephone | 718-739-5454
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Fax | 718-526-1818
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Authorized Official
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Title or Position | PARTNER
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Name | MRS. YVONNE HOWARD
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Credential |
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Telephone | 718-739-5454
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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 | NY4825
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License Number State | NY
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