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General NPI Number Information
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NPI Number | 1023349974
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Entity Type | Organization
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Legal Business Name | AKSTEIN EYE CENTER, PC
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 102 ATLANTA ST
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City | MCDONOUGH
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State | GA
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Zip | 30253-2161
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Country | US
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Telephone | 770-996-4844
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Fax | 770-907-0884
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Provider Business Mailing Address
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Address Line | 86 UPPER RIVERDALE ROAD SUITE 100
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City | RIVERDALE
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State | GA
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Zip | 30274-2614
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Country | US
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Telephone | 770-996-4844
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Fax | 770-907-0884
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICARDO BRASILIANO AKSTEIN
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Credential | MD
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Telephone | 770-996-4844
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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 | 018778
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License Number State | GA
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