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General NPI Number Information
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NPI Number | 1578988473
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Entity Type | Organization
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Legal Business Name | CENTRAL OHIO EYECARE-POWELL
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Dates
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Enumeration Date | 02/28/2014
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 71 CLAIREDAN DR
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City | POWELL
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State | OH
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Zip | 43065-8064
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Country | US
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Telephone | 614-438-0100
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Fax | 614-438-0103
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Provider Business Mailing Address
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Address Line | 71 CLAIREDAN DR
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City | POWELL
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State | OH
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Zip | 43065-8064
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Country | US
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Telephone | 614-438-0100
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Fax | 614-438-0103
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. LAMAR G ZIGLER
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Credential | O.D.,M.S.,F.A.A.O
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Telephone | 614-438-0100
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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 | 3580-T186
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License Number State | OH
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