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General NPI Number Information
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NPI Number | 1942482179
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Entity Type | Organization
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Legal Business Name | LIMAGE OPTICAL
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 355 W 125TH ST
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City | NEW YORK
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State | NY
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Zip | 10027-4817
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Country | US
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Telephone | 212-222-6770
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Fax | 212-222-6770
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Provider Business Mailing Address
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Address Line | 355 W 125TH ST
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City | NEW YORK
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State | NY
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Zip | 10027-4817
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Country | US
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Telephone | 212-222-6770
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Fax | 212-222-6770
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Authorized Official
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Title or Position | OWNER
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Name | JEAN-ROBERT LIMAGE
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Credential | OD
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Telephone | 212-222-6770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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