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General NPI Number Information
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NPI Number | 1053512236
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Entity Type | Organization
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Legal Business Name | EYE CARE SERVICES
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 740 N MAIN ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-5702
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Country | US
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Telephone | 401-272-8282
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Fax | 401-272-8284
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Provider Business Mailing Address
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Address Line | 740 N MAIN ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-5702
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Country | US
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Telephone | 401-272-8282
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Fax | 401-272-8284
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES L NORTON
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Credential | OD
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Telephone | 401-272-8282
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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 | 367T
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License Number State | RI
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