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General NPI Number Information
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NPI Number | 1235320680
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Entity Type | Individual
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Provider Name | THEODORE FRANCIS SEES O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2745 10 MILE RD NE
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City | ROCKFORD
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State | MI
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Zip | 49341-9146
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Country | US
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Telephone | 616-951-7115
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Fax | 616-951-7112
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Provider Business Mailing Address
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Address Line | 2745 10 MILE RD NE
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City | ROCKFORD
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State | MI
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Zip | 49341-9146
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Country | US
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Telephone | 616-951-7115
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Fax | 616-951-7112
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | TA2067
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901004807
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License Number State | MI
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