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General NPI Number Information
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NPI Number | 1518179589
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Entity Type | Organization
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Legal Business Name | ADVANCED EYE CARE PSC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 4139 CADILLAC CT STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40213-1578
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Country | US
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Telephone | 502-473-4835
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Fax | 502-473-4836
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Provider Business Mailing Address
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Address Line | 4139 CADILLAC CT STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40213-1578
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Country | US
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Telephone | 502-473-4835
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Fax | 502-473-4836
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Authorized Official
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Title or Position | OWNER
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Name | DR. GABOR G NEMETH
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Credential | M.D
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Telephone | 502-473-4835
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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 | KY31581
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License Number State | KY
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