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General NPI Number Information
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NPI Number | 1902927734
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Entity Type | Organization
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Legal Business Name | JOSEPH A PIETRETTI
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 171 GRAMATAN AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10550-1205
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Country | US
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Telephone | 914-667-0147
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Fax | 914-664-0205
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Provider Business Mailing Address
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Address Line | 171 GRAMATAN AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10550-1205
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Country | US
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Telephone | 914-667-0147
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Fax | 914-664-0205
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSEPH A PIETRETTI
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Credential |
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Telephone | 914-667-0147
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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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