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General NPI Number Information
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NPI Number | 1922847060
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Entity Type | Organization
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Legal Business Name | AW EYE CARE, PLLC
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 280 NORTHERN BLVD
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City | GREAT NECK
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State | NY
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Zip | 11021-4704
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Country | US
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Telephone | 323-723-2205
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Fax |
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Provider Business Mailing Address
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Address Line | 290 RIVERSIDE DR APT 14B
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City | NEW YORK
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State | NY
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Zip | 10025-5247
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ALEXANDER WEISS
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Credential | M.D.
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Telephone | 323-723-2205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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