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General NPI Number Information
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NPI Number | 1073889184
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Entity Type | Organization
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Legal Business Name | CHILDREN'S EYE PHYSICIANS
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 9302 TOWNE SQUARE AVE
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City | BLUE ASH
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State | OH
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Zip | 45242-6943
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Country | US
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Telephone | 513-791-2114
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Fax | 513-791-3672
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Provider Business Mailing Address
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Address Line | 9302 TOWNE SQUARE AVE
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City | BLUE ASH
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State | OH
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Zip | 45242-6943
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Country | US
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Telephone | 513-791-2114
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Fax | 513-791-3672
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CAMILLE ELISE MORRISON
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Credential |
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Telephone | 513-680-6004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1100X
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Taxonomy Name | Ophthalmic Technician/Technologist
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License Number | 35051262
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License Number State | OH
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