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General NPI Number Information
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NPI Number | 1265098263
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Entity Type | Organization
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Legal Business Name | TORI EYEWEAR LLC
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 146 ELM ST
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City | NEW CANAAN
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State | CT
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Zip | 06840-5406
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Country | US
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Telephone | 203-842-5988
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Fax | 203-842-5996
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Provider Business Mailing Address
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Address Line | 146 ELM ST
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City | NEW CANAAN
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State | CT
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Zip | 06840-5406
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Country | US
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Telephone | 203-842-5988
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Fax | 203-842-5996
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Authorized Official
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Title or Position | OPTOMETRIST AND OWNER
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Name | DR. VICTORIA CONSIDINE
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Credential | OD
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Telephone | 203-842-5988
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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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