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General NPI Number Information
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NPI Number | 1063513463
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Entity Type | Organization
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Legal Business Name | A & J EYECARE, INC.
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1901 BLACK ROCK TPKE
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City | FAIRFIELD
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State | CT
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Zip | 06825-3506
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Country | US
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Telephone | 203-334-7722
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Fax | 203-576-0649
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Provider Business Mailing Address
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Address Line | 1901 BLACK ROCK TPKE
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City | FAIRFIELD
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State | CT
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Zip | 06825-3506
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Country | US
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Telephone | 203-334-7722
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Fax | 203-576-0649
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Authorized Official
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Title or Position | OPTICIAN
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Name | JOSEPH STRIZALKOWSKI
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Credential |
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Telephone | 203-334-7722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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