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General NPI Number Information
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NPI Number | 1164455879
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Entity Type | Organization
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Legal Business Name | REIFF EYE CENTER LTD
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 1435 N RANDALL RD SUITE 102
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City | ELGIN
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State | IL
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Zip | 60123-2306
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Country | US
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Telephone | 847-841-8866
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Fax | 847-841-8986
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Provider Business Mailing Address
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Address Line | 1435 N RANDALL RD SUITE 102
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City | ELGIN
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State | IL
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Zip | 60123-2306
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Country | US
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Telephone | 847-841-8866
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Fax | 847-841-8986
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Authorized Official
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Title or Position | OFFICE COORDINATOR
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Name | MRS. GRAC PENN
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Credential |
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Telephone | 847-841-8866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | IL
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