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General NPI Number Information
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NPI Number | 1447455126
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Entity Type | Organization
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Legal Business Name | EYE CARE ASSOCIATES NW PA
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3400 BARRY PAUL RD SUITE 4
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5161
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Country | US
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Telephone | 419-655-8114
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Fax |
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Provider Business Mailing Address
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Address Line | 11 WOODFIELD CT
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City | REISTERSTOWN
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State | MD
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Zip | 21136-4639
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Country | US
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Telephone | 410-404-6037
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL SANDLER
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Credential | M.D.
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Telephone | 410-404-6037
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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 | D0022624
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License Number State | MD
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