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General NPI Number Information
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NPI Number | 1962733717
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Entity Type | Organization
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Legal Business Name | LENSCUTTERS OPTICAL INC.
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 2626 HYLAN BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4352
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Country | US
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Telephone | 718-987-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 HYLAN BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4352
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Country | US
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Telephone | 718-987-7200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RENATA NANNETTI
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Credential |
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Telephone | 718-987-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 007838
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License Number State | NY
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