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General NPI Number Information
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NPI Number | 1235420944
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN EYECARE PLC
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 2575 S. VANDYKE RD SUITE 104
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City | MARLETTE
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State | MI
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Zip | 48453-0398
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Country | US
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Telephone | 989-635-1500
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Fax | 989-635-3937
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Provider Business Mailing Address
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Address Line | 1885 N CENTER RD
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City | SAGINAW
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State | MI
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Zip | 48638-5565
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Country | US
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Telephone | 989-792-8686
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Fax | 989-792-8382
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | C STEVEN KOCKS
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Credential | OD
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Telephone | 989-792-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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