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General NPI Number Information
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NPI Number | 1306963921
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Entity Type | Organization
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Legal Business Name | EYE CARE ASSOCIATES OF MICHIGAN P C
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 20210 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1412
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Country | US
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Telephone | 248-476-4130
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Fax | 248-476-2540
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Provider Business Mailing Address
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Address Line | 20210 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1412
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Country | US
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Telephone | 248-476-4130
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Fax | 248-476-2540
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIC JAY ZUCKERMAN
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Credential | D.O.
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Telephone | 248-476-4130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | MI
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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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