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General NPI Number Information
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NPI Number | 1003242066
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Entity Type | Organization
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Legal Business Name | IN A BLINK EYE CARE INC
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 4125 CLEVELAND AVE SUITE 88
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City | FORT MYERS
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State | FL
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Zip | 33901-9046
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Country | US
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Telephone | 239-275-1336
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 INTERNATIONAL CENTER BLVD
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City | FORT MYERS
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State | FL
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Zip | 33912-7151
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Country | US
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Telephone | 239-936-4706
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Fax | 239-225-6775
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Authorized Official
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Title or Position | OWNER
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Name | MS. NICOLE ALESSI
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Credential | O.D.
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Telephone | 239-936-4706
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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 | OPC4561
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License Number State | FL
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