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General NPI Number Information
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NPI Number | 1104025485
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Entity Type | Organization
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Legal Business Name | BOND EYE ASSOCIATES, S.C.
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 01/24/2018
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Provider Practice Location Address
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Address Line | 180 S MAIN ST STE 2G
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City | CANTON
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State | IL
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Zip | 61520-2608
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Country | US
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Telephone | 309-647-3937
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Fax | 309-647-4311
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Provider Business Mailing Address
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Address Line | 175 S MAIN ST
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City | CANTON
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State | IL
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Zip | 61520-2670
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Country | US
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Telephone | 309-647-3937
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Fax | 309-647-4311
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. WILLIAM I. BOND
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Credential | M.D.
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Telephone | 309-353-6660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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