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General NPI Number Information
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NPI Number | 1972708550
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Entity Type | Organization
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Legal Business Name | VISIONIQUE INC
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 110 LOCKWOOD AVE SUITE 104
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5028
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Country | US
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Telephone | 914-636-5506
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Fax | 914-636-6644
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Provider Business Mailing Address
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Address Line | 110 LOCKWOOD AVE SUITE 104
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5028
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Country | US
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Telephone | 914-636-5506
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Fax | 914-636-6644
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Authorized Official
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Title or Position | CEO
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Name | VERONIQUE GERMAINE
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Credential | OD
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Telephone | 347-489-5957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 5465-1
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License Number State | NY
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