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General NPI Number Information
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NPI Number | 1295939155
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Entity Type | Organization
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Legal Business Name | B.E.K EYECARE, INC
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 03/24/2015
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Provider Practice Location Address
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Address Line | 512 W MAIN ST CASTLE VIEW PLAZA
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City | MERIDEN
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State | CT
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Zip | 06451-2758
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Country | US
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Telephone | 203-235-2015
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Fax | 203-238-1432
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Provider Business Mailing Address
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Address Line | 512 W MAIN ST CASTLE VIEW PLAZA
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City | MERIDEN
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State | CT
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Zip | 06451-2758
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Country | US
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Telephone | 203-235-2015
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Fax | 203-238-1432
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ARMANDO RAFAEL
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Credential | O.D.
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Telephone | 203-235-2015
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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 | 1012
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License Number State | CT
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