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General NPI Number Information
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NPI Number | 1376679100
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Entity Type | Organization
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Legal Business Name | EYE CONSULTANTS OF MARYLAND PA
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 21 CROSSROADS DR SUITE 425
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5441
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Country | US
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Telephone | 410-581-2020
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Fax | 410-654-9264
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Provider Business Mailing Address
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Address Line | 21 CROSSROADS DR SUITE 425
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5441
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Country | US
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Telephone | 410-581-2020
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Fax | 410-654-9264
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Authorized Official
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Title or Position | OWNER
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Name | STANLEY SOL SCHOCKET
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Credential | M.D.
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Telephone | 410-281-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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