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General NPI Number Information
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NPI Number | 1184996605
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Entity Type | Organization
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Legal Business Name | THE EYE CARE CLINIC
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 7600 KINGSTON PIKE SUITE 1480
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City | KNOXVILLE
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State | TN
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Zip | 37919-5600
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Country | US
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Telephone | 865-694-7527
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Fax | 865-694-0021
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Provider Business Mailing Address
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Address Line | 7600 KINGSTON PIKE SUITE 1480
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City | KNOXVILLE
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State | TN
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Zip | 37919-5600
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Country | US
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Telephone | 865-694-7527
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Fax | 865-694-0021
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. STEVEN MAURICE SMITH
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Credential | OD
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Telephone | 865-694-7527
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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 | 736
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License Number State | TN
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