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General NPI Number Information
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NPI Number | 1427231760
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Entity Type | Organization
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Legal Business Name | ADVANCED EYECARE GROUP PC
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 3335 N ARLINGTON HEIGHTS RD STE M
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1573
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Country | US
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Telephone | 847-398-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 3335 N ARLINGTON HEIGHTS RD STE M
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1573
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Country | US
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Telephone | 847-398-0800
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PATRICIA E O'HAGAN
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Credential |
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Telephone | 708-848-3900
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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 |
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License Number State |
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