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General NPI Number Information
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NPI Number | 1669553368
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Entity Type | Organization
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Legal Business Name | EYE CARE ASSOCIATES PC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 26850 PROVIDENCE PKWY STE 150
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City | NOVI
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State | MI
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Zip | 48374-1254
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Country | US
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Telephone | 248-380-8066
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Fax | 248-380-8087
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Provider Business Mailing Address
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Address Line | 26850 PROVIDENCE PKWY STE 150
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City | NOVI
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State | MI
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Zip | 48374-1254
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Country | US
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Telephone | 248-380-8066
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Fax | 248-569-5729
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Authorized Official
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Title or Position | BILLER
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Name | MARGARET LONG
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Credential |
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Telephone | 248-380-8066
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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 | 4301049740
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301070263
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301021236
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License Number State | MI
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