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General NPI Number Information
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NPI Number | 1972069094
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Entity Type | Organization
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Legal Business Name | CFO RETAIL OF MANHATTAN LLC
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 2933 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10025-7801
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Country | US
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Telephone | 212-662-0400
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Fax | 212-662-1188
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Provider Business Mailing Address
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Address Line | 100 QUENTIN ROOSEVELT BLVD STE 516
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City | GARDEN CITY
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State | NY
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Zip | 11530-4843
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Country | US
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Telephone | 212-729-5384
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Fax | 212-729-5382
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Authorized Official
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Title or Position | OWNER
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Name | ALAN COHEN
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Credential |
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Telephone | 212-729-5384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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