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General NPI Number Information
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NPI Number | 1164763207
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Entity Type | Organization
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Legal Business Name | EYE CARE PLUS, LLC
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 12/15/2016
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Provider Practice Location Address
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Address Line | 2474 CROSSPOINTE DR
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City | ROCK HILL
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State | SC
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Zip | 29730-8185
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Country | US
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Telephone | 803-329-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 2474 CROSSPOINTE DR
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City | ROCK HILL
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State | SC
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Zip | 29730-8185
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Country | US
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Telephone | 803-329-3937
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. SHALINI MAHARAJ
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Credential | O.D.
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Telephone | 954-336-6943
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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 | 1500
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License Number State | SC
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