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General NPI Number Information
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NPI Number | 1407132848
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Entity Type | Organization
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Legal Business Name | DBS EYE CARE LLC
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Dates
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Enumeration Date | 10/31/2011
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 1622 N MEMORIAL DR
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City | LANCASTER
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State | OH
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Zip | 43130-1631
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Country | US
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Telephone | 740-654-6538
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Fax | 740-654-7142
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Provider Business Mailing Address
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Address Line | 1262 RICE AVE
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City | GAHANNA
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State | OH
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Zip | 43230-3653
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Country | US
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Telephone | 614-804-1154
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIELLE B. SCHNEIDER
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Credential | O.D.
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Telephone | 614-804-1154
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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 | 6071
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License Number State | OH
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