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General NPI Number Information
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NPI Number | 1144321241
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Entity Type | Organization
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Legal Business Name | DR. JACK M. SAFIER
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 570 GYPSY LN
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-2144
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Country | US
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Telephone | 330-743-9816
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Fax |
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Provider Business Mailing Address
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Address Line | 570 GYPSY LN
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-2144
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACK SAFIER
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Credential |
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Telephone | 330-743-9816
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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 | 3201
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License Number State | OH
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