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General NPI Number Information
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NPI Number | 1265513956
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Entity Type | Organization
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Legal Business Name | CARAFICE AND HALLQUIST, INC.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 8775 S. MASON-MONTGOMERY RD
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City | MASON
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State | OH
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Zip | 45040-7675
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Country | US
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Telephone | 513-770-4178
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Fax | 513-770-4187
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Provider Business Mailing Address
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Address Line | 3116 W. MONTGOMERY RD. SUITE C #275
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City | MAINEVILLE
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State | OH
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Zip | 45039-8609
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Country | US
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Telephone | 513-228-0790
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Fax | 513-228-0790
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. CINDIJO M HALLQUIST
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Credential | O.D.
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Telephone | 513-520-9542
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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 | 4256-T1271
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License Number State | OH
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