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General NPI Number Information
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NPI Number | 1659187177
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Entity Type | Organization
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Legal Business Name | COMMUNITY EYE CARE SPECIALISTS P C
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 27 PORTER AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-6221
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Country | US
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Telephone | 716-483-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 2 FARM COLONY DR
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City | WARREN
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State | PA
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Zip | 16365-5203
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF REVENUE CYCLE OFFICER
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Name | CANDICE B DAVIS
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Credential |
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Telephone | 916-990-7590
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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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