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General NPI Number Information
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NPI Number | 1972660041
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Entity Type | Individual
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Provider Name | PETER REMENY
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Gender | Male
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 12/07/2010
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Provider Practice Location Address
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Address Line | 16024 WILLETS POINT BLVD
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City | WHITESTONE
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State | NY
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Zip | 11357-3342
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Country | US
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Telephone | 718-746-4399
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Fax | 516-295-2644
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Provider Business Mailing Address
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Address Line | 118 HARRIS AVE
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City | HEWLETT
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State | NY
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Zip | 11557-1317
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Country | US
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Telephone | 516-295-1440
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Fax | 516-295-2644
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | T002850
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License Number State | NY
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