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General NPI Number Information
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NPI Number | 1306877741
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Entity Type | Organization
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Legal Business Name | SENECA EYE SURGEONS, INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 27 PORTER AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-6221
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Country | US
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Telephone | 716-483-2020
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Fax | 716-488-9295
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Provider Business Mailing Address
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Address Line | 27 PORTER AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-6221
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Country | US
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Telephone | 716-483-2020
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Fax | 716-488-9295
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DEB WRIGHT
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Credential |
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Telephone | 716-483-2020
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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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Taxonomy #2
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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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