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General NPI Number Information
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NPI Number | 1639173453
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Entity Type | Individual
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Provider Name | BRETT DENNIS MCVEY O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 209 W 5TH ST
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City | LORAIN
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State | OH
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Zip | 44052-1609
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Country | US
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Telephone | 440-246-2020
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Fax | 440-244-3257
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Provider Business Mailing Address
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Address Line | 6640 LEMONWOOD CT
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City | LORAIN
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State | OH
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Zip | 44053-3847
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Country | US
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Telephone | 440-233-7562
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3622/T559
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License Number State | OH
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