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General NPI Number Information
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NPI Number | 1528087608
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Entity Type | Organization
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Legal Business Name | COMMUNITY EYE CARE ASSOCIATES
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 811 W MAIN ST
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City | MONONGAHELA
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State | PA
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Zip | 15063-2815
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Country | US
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Telephone | 724-258-7695
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Fax | 724-258-7697
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Provider Business Mailing Address
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Address Line | 811 W MAIN ST
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City | MONONGAHELA
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State | PA
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Zip | 15063-2815
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Country | US
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Telephone | 724-258-7695
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Fax | 724-258-7697
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GAIL CONNORS
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Credential |
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Telephone | 724-258-7695
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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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