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General NPI Number Information
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NPI Number | 1033296868
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Entity Type | Organization
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Legal Business Name | EYE CARE ASSOCIATES OF MARIETTA LLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/02/2017
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Provider Practice Location Address
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Address Line | 111 S 3RD ST
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City | MARIETTA
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State | OH
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Zip | 45750-3111
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Country | US
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Telephone | 740-373-2069
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Fax | 740-336-7887
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Provider Business Mailing Address
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Address Line | 111 S 3RD ST
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City | MARIETTA
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State | OH
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Zip | 45750-3111
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Country | US
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Telephone | 740-373-2069
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Fax | 740-336-7887
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Authorized Official
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Title or Position | HUMAN RESOURCES MANAGER
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Name | LYNDSAY D BIEHL
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Credential |
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Telephone | 740-373-2069
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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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