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General NPI Number Information
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NPI Number | 1275601254
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Entity Type | Organization
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Legal Business Name | TRI-STATE CENTERS FOR SIGHT, INC.
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 1577B GOODMAN AVE
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City | CINCINNATI
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State | OH
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Zip | 45224
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Country | US
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Telephone | 513-729-1321
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Fax | 513-729-2873
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Provider Business Mailing Address
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Address Line | 2865 CHANCELLOR DR STE 215
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-3931
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Country | US
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Telephone | 859-331-1058
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Fax | 513-791-4567
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DANIEL A NORDLOH
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Credential |
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Telephone | 859-581-7120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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