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General NPI Number Information
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NPI Number | 1972633543
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Entity Type | Organization
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Legal Business Name | STEVEN I BENCH OD, PC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 151 BUFFALO AVE SUITE 206
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City | NIAGARA FALLS
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State | NY
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Zip | 14303-1243
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Country | US
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Telephone | 716-284-9449
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Fax | 716-284-9467
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Provider Business Mailing Address
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Address Line | 151 BUFFALO AVE
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City | NIAGARA FALLS
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State | NY
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Zip | 14303-1243
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Country | US
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Telephone | 716-284-9449
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Fax | 716-284-9467
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LORNA KRULISKY
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Credential |
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Telephone | 716-284-9449
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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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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 003048
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License Number State | NY
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