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General NPI Number Information
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NPI Number | 1467927525
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Entity Type | Organization
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Legal Business Name | DRAMEN EYECARE, LLC
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 1360 TOWN CENTRE DR
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City | EAGAN
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State | MN
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Zip | 55123-2310
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Country | US
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Telephone | 651-686-7435
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Fax | 651-686-7438
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Provider Business Mailing Address
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Address Line | 3144 CHOWEN AVE S APT 118
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City | MINNEAPOLIS
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State | MN
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Zip | 55416-5446
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Country | US
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Telephone | 763-772-5514
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DANIELLE MARIE DRAMEN
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Credential | OD
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Telephone | 763-772-5514
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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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