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General NPI Number Information
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NPI Number | 1427398361
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Entity Type | Organization
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Legal Business Name | NORTH COAST EYE CARE, AVON LLC
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Dates
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Enumeration Date | 02/28/2013
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 38530 CHESTER RD SUITE 300
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City | AVON
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State | OH
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Zip | 44011-4047
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Country | US
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Telephone | 440-934-0055
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Fax |
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Provider Business Mailing Address
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Address Line | 38530 CHESTER RD SUITE 300
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City | AVON
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State | OH
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Zip | 44011-4047
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Country | US
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Telephone | 440-934-0055
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID A. DELPRINCIPE
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Credential | OD
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Telephone | 440-934-0055
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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 | 4513
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License Number State | OH
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