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General NPI Number Information
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NPI Number | 1902131634
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Entity Type | Organization
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Legal Business Name | IDEAL CHOICE OPTOMETRIC P.C.
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 7602 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-3304
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Country | US
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Telephone | 718-238-2020
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Fax | 718-491-3147
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Provider Business Mailing Address
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Address Line | 7602 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-3304
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Country | US
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Telephone | 718-238-2020
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Fax | 718-491-3147
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGELIKA KARALNIK
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Credential | O.D.
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Telephone | 718-238-2020
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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 | TUV006544
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License Number State | NY
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