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General NPI Number Information
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NPI Number | 1023744182
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Entity Type | Organization
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Legal Business Name | OIC INTEGRATIVE OPTOMETRY LLC
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 812 HURON RD E
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City | CLEVELAND
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State | OH
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Zip | 44115-1123
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Country | US
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Telephone | 216-781-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 4602 NEW MILFORD RD
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City | ROOTSTOWN
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State | OH
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Zip | 44272-9780
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Country | US
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Telephone | 314-477-7278
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. NANCY COZZI
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Credential | OD
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Telephone | 314-477-7278
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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 |
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License Number State |
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