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General NPI Number Information
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NPI Number | 1255311395
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Entity Type | Organization
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Legal Business Name | PARRIS-CASTORO EYE CARE CENTER, P.A.
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 620 BOULTON ST 2ND FLOOR
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City | BEL AIR
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State | MD
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Zip | 21014-4255
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Country | US
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Telephone | 410-399-8426
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Fax | 410-399-8427
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Provider Business Mailing Address
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Address Line | 620 BOULTON ST 2ND FLOOR
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City | BEL AIR
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State | MD
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Zip | 21014-4255
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Country | US
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Telephone | 410-399-8426
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Fax | 410-399-8427
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MARY JO O'CONNELL
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Credential |
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Telephone | 410-399-8451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | A1021
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License Number State | MD
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