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General NPI Number Information
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NPI Number | 1972812980
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Entity Type | Individual
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Provider Name | SYBIL K KOMPANCARIL O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2010
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Last Update Date | 09/26/2010
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Provider Practice Location Address
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Address Line | 312 BLEECKER ST
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City | NEW YORK
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State | NY
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Zip | 10014-3437
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Country | US
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Telephone | 212-989-7060
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Fax | 212-989-7062
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Provider Business Mailing Address
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Address Line | 118 HADDON RD
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1746
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Country | US
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Telephone | 516-359-4617
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV007569-1
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License Number State | NY
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