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General NPI Number Information
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NPI Number | 1407846215
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Entity Type | Organization
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Legal Business Name | DAVIS EYE CENTER, INC
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 789 GRAHAM RD
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-1045
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Country | US
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Telephone | 330-923-5676
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Fax | 330-572-2450
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Provider Business Mailing Address
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Address Line | 789 GRAHAM RD
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-1045
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Country | US
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Telephone | 330-923-5676
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Fax | 330-572-2450
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LINDA D COOK
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Credential |
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Telephone | 330-923-5676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 259
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License Number State | OH
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