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General NPI Number Information
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NPI Number | 1346366689
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Entity Type | Organization
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Legal Business Name | FAMILY EYE CARE, PC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 1871 S RANDALL RD
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City | GENEVA
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State | IL
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Zip | 60134-4434
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Country | US
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Telephone | 630-377-2020
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Fax | 630-584-2052
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Provider Business Mailing Address
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Address Line | 1871 S RANDALL RD
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City | GENEVA
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State | IL
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Zip | 60134-4434
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Country | US
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Telephone | 630-377-2020
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Fax | 630-584-2052
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Authorized Official
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Title or Position | OWNER
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Name | NANCY A CHRIST
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Credential | O.D.
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Telephone | 630-377-2020
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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 | 046008399
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046008657
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License Number State | IL
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