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General NPI Number Information
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NPI Number | 1134229131
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Entity Type | Organization
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Legal Business Name | GIANNAS EYECARE PROFESSIONALS INC.
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 1232 RACE RD STE 101
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City | BALTIMORE
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State | MD
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Zip | 21237-2362
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Country | US
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Telephone | 410-391-2700
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Fax | 410-391-2703
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Provider Business Mailing Address
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Address Line | 1232 RACE RD STE 101
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City | BALTIMORE
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State | MD
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Zip | 21237-2362
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Country | US
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Telephone | 410-391-2700
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Fax | 410-391-2703
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Authorized Official
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Title or Position | TREAS.
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Name | DR. APOSTOLOS JOHN GIANNAS
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Credential | O.D.
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Telephone | 410-391-2700
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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 | TA0814
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License Number State | MD
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