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General NPI Number Information
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NPI Number | 1982766945
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Entity Type | Organization
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Legal Business Name | ALLEN M. LANDERS MD PC
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13710 FRANKLIN AVE #L2
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City | FLUSHING
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State | NY
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Zip | 11355-3842
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Country | US
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Telephone | 718-359-5560
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Fax | 718-359-5457
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Provider Business Mailing Address
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Address Line | 13710 FRANKLIN AVE #L2
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City | FLUSHING
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State | NY
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Zip | 11355-3842
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Country | US
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Telephone | 718-359-5560
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Fax | 718-359-5457
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Authorized Official
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Title or Position | PHYSICIAN PRESIDENT
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Name | DR. ALLEN M. LANDERS
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Credential | MD
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Telephone | 718-359-5560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 116422
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License Number State | NY
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