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General NPI Number Information
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NPI Number | 1003229303
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Entity Type | Organization
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Legal Business Name | MILFORD EYE CARE, INC.
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 1107 ALLEN DR SUITE C
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City | MILFORD
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State | OH
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Zip | 45150-8033
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Country | US
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Telephone | 513-965-2020
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Fax | 513-965-2025
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Provider Business Mailing Address
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Address Line | 1107 ALLEN DR SUITE C
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City | MILFORD
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State | OH
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Zip | 45150-8033
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Country | US
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Telephone | 513-965-2020
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Fax | 513-965-2025
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Authorized Official
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Title or Position | MANAGER
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Name | MS. ERIN JENNINGS
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Credential |
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Telephone | 513-965-2020
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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 | 3266
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License Number State | OH
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