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General NPI Number Information
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NPI Number | 1952067001
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Entity Type | Organization
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Legal Business Name | ANTHONY SQUARED LLC
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Dates
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Enumeration Date | 11/12/2021
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 161 E 32ND ST
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City | NEW YORK CITY
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State | NY
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Zip | 10016
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Country | US
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Telephone | 646-916-1366
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Fax | 212-505-1184
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Provider Business Mailing Address
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Address Line | 161 E 32ND ST
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City | NEW YORK CITY
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State | NY
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Zip | 10016
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Country | US
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Telephone | 646-916-1366
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Fax | 212-505-1184
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY FRANK GAGGI
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Credential | DO
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Telephone | 646-916-1366
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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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