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General NPI Number Information
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NPI Number | 1972862506
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Entity Type | Organization
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Legal Business Name | YONKERS EYEWEAR OPTICAL INC.
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 442 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10705-2339
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Country | US
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Telephone | 212-203-8404
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Fax | 212-308-3217
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Provider Business Mailing Address
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Address Line | 442 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10705-2339
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Country | US
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Telephone | 212-203-8404
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Fax | 212-308-3217
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Authorized Official
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Title or Position | OWNER
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Name | SANDY NUNEZ
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Credential |
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Telephone | 212-203-8404
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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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