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General NPI Number Information
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NPI Number | 1174607733
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Entity Type | Organization
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Legal Business Name | AGNONE, MORRISON AND ASSOCIATES EYE PHYSICIANS AND SURGEONS INC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1550 LONDON AVE
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City | MARYSVILLE
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State | OH
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Zip | 43040-8988
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Country | US
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Telephone | 937-553-2021
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Fax | 937-553-2021
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Provider Business Mailing Address
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Address Line | 1550 LONDON AVE
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City | MARYSVILLE
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State | OH
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Zip | 43040-8988
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Country | US
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Telephone | 937-553-2020
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Fax | 937-553-2021
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CRYSTAL COOPER
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Credential |
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Telephone | 937-553-2020
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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 |
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