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General NPI Number Information
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NPI Number | 1225538457
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Entity Type | Organization
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Legal Business Name | EYE CARE CENTER, INC
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 102 GRAHAM AVE GROUND FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11206-3334
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Country | US
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Telephone | 718-406-0478
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Fax | 718-705-4221
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Provider Business Mailing Address
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Address Line | PO BOX 150617
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City | BROOKLYN
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State | NY
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Zip | 11215-0617
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Country | US
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Telephone | 718-869-4326
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Fax | 646-490-0050
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Authorized Official
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Title or Position | OWNER
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Name | RALPH MURRAY
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Credential | OD
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Telephone | 718-406-0478
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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 |
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License Number State |
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Taxonomy #2
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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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