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General NPI Number Information
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NPI Number | 1295024545
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Entity Type | Organization
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Legal Business Name | EDDINGTON EYECARE, PC
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 6130 BARNES RD STE 128
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City | COLORADO SPRINGS
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State | CO
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Zip | 80922-2601
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Country | US
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Telephone | 719-550-4234
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Fax | 719-570-6055
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Provider Business Mailing Address
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Address Line | 6130 BARNES RD STE 128
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City | COLORADO SPRINGS
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State | CO
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Zip | 80922-2601
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Country | US
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Telephone | 719-550-4234
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Fax | 719-570-6055
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD GENE EDDINGTON
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Credential | O.D.
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Telephone | 719-550-4234
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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 | 2786
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License Number State | CO
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