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General NPI Number Information
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NPI Number | 1598869646
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Entity Type | Organization
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Legal Business Name | PAJKA EYE CENTER INC
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 ST CLAIR JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL
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City | ST MARYS
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State | OH
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Zip | 45885
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Country | US
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Telephone | 419-228-7432
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Fax | 419-228-5628
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Provider Business Mailing Address
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Address Line | 855 W MARKET ST STE A
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City | LIMA
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State | OH
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Zip | 45805
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Country | US
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Telephone | 419-228-7432
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Fax | 419-228-5628
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JOHN T PAJKA
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Credential | MD
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Telephone | 419-228-7432
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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 |
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License Number State |
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