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General NPI Number Information
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NPI Number | 1467595074
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Entity Type | Organization
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Legal Business Name | EYECARE PHYSICIANS & SURGEONS LLC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 125 DOUGHTY ST SUITE 330
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City | CHARLESTON
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State | SC
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Zip | 29403-5736
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Country | US
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Telephone | 843-722-7705
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Fax | 843-722-7149
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Provider Business Mailing Address
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Address Line | 125 DOUGHTY ST SUITE 330
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City | CHARLESTON
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State | SC
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Zip | 29403-5736
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Country | US
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Telephone | 843-722-7705
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Fax | 843-722-7149
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. JACQUELYN P HALL
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Credential | COA, CMA
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Telephone | 843-722-7705
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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 |
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License Number State |
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