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General NPI Number Information
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NPI Number | 1568705499
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Entity Type | Organization
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Legal Business Name | BUCCI EYECARE, PLLC
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 09/24/2015
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Provider Practice Location Address
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Address Line | 4325 SUN N LAKE BLVD SUITE 104
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City | SEBRING
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State | FL
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Zip | 33872-2171
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Country | US
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Telephone | 863-385-3937
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Fax | 863-385-3940
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Provider Business Mailing Address
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Address Line | 922 COUGAR BLVD
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City | SEBRING
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State | FL
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Zip | 33872-8705
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Country | US
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Telephone | 401-374-7486
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JANE BUCCI O'HORA
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Credential | OD
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Telephone | 863-385-3937
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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 | OPC 4097
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License Number State | FL
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