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General NPI Number Information
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NPI Number | 1124411715
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Entity Type | Organization
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Legal Business Name | SWITALSKI EYE CARE PLLC
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Dates
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Enumeration Date | 03/06/2015
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Last Update Date | 03/06/2015
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Provider Practice Location Address
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Address Line | 2401 S STEMMONS FWY SUITE 2210 B
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City | LEWISVILLE
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State | TX
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Zip | 75067-8775
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Country | US
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Telephone | 972-459-4908
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 S STEMMONS FWY SUITE 2210 B
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City | LEWISVILLE
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State | TX
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Zip | 75067-8775
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Country | US
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Telephone | 972-459-4908
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. BOGUSLAW BRIAN SWITALSKI
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Credential | O.D.
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Telephone | 954-993-6543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 7644TG
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License Number State | TX
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