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General NPI Number Information
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NPI Number | 1295856540
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Entity Type | Organization
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Legal Business Name | GARDEN CITY EYECARE, INC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 1150 RESERVOIR AVE LL 5
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City | CRANSTON
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State | RI
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Zip | 02920-6068
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Country | US
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Telephone | 401-943-8151
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 RESERVOIR AVE LL 5
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City | CRANSTON
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State | RI
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Zip | 02920-6068
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Country | US
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Telephone | 401-943-8151
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LOUISE DICHIARA PASTORE
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Credential | OD F.A.A.O.
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Telephone | 401-943-8151
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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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