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General NPI Number Information
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NPI Number | 1356731038
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Entity Type | Organization
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Legal Business Name | FAMILY EYECARE OF ORANGE, P.C.
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 501 BOSTON POST RD SUITE 13
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City | ORANGE
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State | CT
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Zip | 06477-3567
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Country | US
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Telephone | 203-795-3937
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Fax | 203-891-0737
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Provider Business Mailing Address
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Address Line | 501 BOSTON POST RD SUITE 13
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City | ORANGE
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State | CT
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Zip | 06477-3567
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Country | US
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Telephone | 203-795-3937
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Fax | 203-891-0737
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. NATACHA LOUIS-CHARLES
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Credential |
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Telephone | 203-795-3937
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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 | 2826
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License Number State | CT
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