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General NPI Number Information
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NPI Number | 1215334248
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Entity Type | Organization
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Legal Business Name | EYECARE TODAY, PA
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Dates
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Enumeration Date | 11/19/2014
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 449 FOREST AVE STE 8
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City | PORTLAND
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State | ME
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Zip | 04101-2008
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Country | US
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Telephone | 207-773-3232
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Fax | 207-773-3240
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Provider Business Mailing Address
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Address Line | 449 FOREST AVE STE 8
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City | PORTLAND
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State | ME
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Zip | 04101-2008
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Country | US
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Telephone | 207-773-3232
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Fax | 207-773-3240
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT F MURRAY III
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Credential | O.D.
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Telephone | 207-773-3232
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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 | OPT580
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License Number State | ME
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